A Case of Neovascular Glaucoma Caused by Carotid Stenosis

J Korean Neurol Assoc > Volume 21(4); 2003 > Article

Journal of the Korean Neurological Association 2003;21(4): 415-417.

경동맥 협착으로 인한 혈관신생 녹내장 1예

이봉호 , 조아현 국문석* 이재홍

울산대학교 의과대학 서울아산병원 신경과학교실, 안과학교실*

A Case of Neovascular Glaucoma Caused by Carotid Stenosis

Bong-Ho Lee

Department of neurology, and ophthalmology*, Asan Medical Center, University of Ulsan College of Medicine

Abstract

"Neovascular glaucoma (NVG) occurs when new fibrovascular tissues proliferate onto the chamber angle and obstruct the trabecular meshwork. We report a 62-year-old man who presented with progressive monocular visual loss that supervened on NVG. MR angiography and duplex sonography indicated stenosis of the right proximal internal carotid artery (ICA). A carotid endarterectomy was performed. But visual acuity was not improved. We suggest that early detection of NVG is critical for the prevention of visual loss and that rubeosis iridis and chemosis may be the clue to the presence of underlying carotid stenosis. Key Words: Neovascular glaucoma, Carotid stenosis, Ocular ischemic syndrome"