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Combined central retinal artery and vein occlusion following trabeculectomy

Retinal vascular events may occur as rare complications of glaucoma procedures due to various factors, including exacerbation of ischemia in patients with pre-existing vascular comorbidities, toxic effect of mitomycin-C, and decompression retinopathy. We present the case of a 47-year-old hypertensiv...

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Autores principales: Bromeo, Albert John, Lerit, Sweet Jorlene, Grulla-Quilendrino, Patricia, Sosuan, George Michael, Leuenberger, Edgar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285110/
https://www.ncbi.nlm.nih.gov/pubmed/35912131
http://dx.doi.org/10.3205/oc000205
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author Bromeo, Albert John
Lerit, Sweet Jorlene
Grulla-Quilendrino, Patricia
Sosuan, George Michael
Leuenberger, Edgar
author_facet Bromeo, Albert John
Lerit, Sweet Jorlene
Grulla-Quilendrino, Patricia
Sosuan, George Michael
Leuenberger, Edgar
author_sort Bromeo, Albert John
collection PubMed
description Retinal vascular events may occur as rare complications of glaucoma procedures due to various factors, including exacerbation of ischemia in patients with pre-existing vascular comorbidities, toxic effect of mitomycin-C, and decompression retinopathy. We present the case of a 47-year-old hypertensive male who underwent trabeculectomy for advanced glaucoma in his right eye. At 3 weeks postoperatively, he presented with a drop in visual acuity to light perception with a spike in intraocular pressure. On examination, there was increased bleb vascularity as well as rubeosis. Fundoscopy revealed findings consistent with both central retinal artery occlusion and central retinal vein occlusion. Combined central retinal artery and vein occlusion is a rare retinal vascular condition. Neovascular glaucoma can occur as a sequelae of the ischemic process in the retina. Despite treatment, there is a poor visual prognosis, with the affected eye usually becoming blind from optic atrophy and neovascularization.
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spelling pubmed-92851102022-07-28 Combined central retinal artery and vein occlusion following trabeculectomy Bromeo, Albert John Lerit, Sweet Jorlene Grulla-Quilendrino, Patricia Sosuan, George Michael Leuenberger, Edgar GMS Ophthalmol Cases Article Retinal vascular events may occur as rare complications of glaucoma procedures due to various factors, including exacerbation of ischemia in patients with pre-existing vascular comorbidities, toxic effect of mitomycin-C, and decompression retinopathy. We present the case of a 47-year-old hypertensive male who underwent trabeculectomy for advanced glaucoma in his right eye. At 3 weeks postoperatively, he presented with a drop in visual acuity to light perception with a spike in intraocular pressure. On examination, there was increased bleb vascularity as well as rubeosis. Fundoscopy revealed findings consistent with both central retinal artery occlusion and central retinal vein occlusion. Combined central retinal artery and vein occlusion is a rare retinal vascular condition. Neovascular glaucoma can occur as a sequelae of the ischemic process in the retina. Despite treatment, there is a poor visual prognosis, with the affected eye usually becoming blind from optic atrophy and neovascularization. German Medical Science GMS Publishing House 2022-06-28 /pmc/articles/PMC9285110/ /pubmed/35912131 http://dx.doi.org/10.3205/oc000205 Text en Copyright © 2022 Bromeo et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Bromeo, Albert John
Lerit, Sweet Jorlene
Grulla-Quilendrino, Patricia
Sosuan, George Michael
Leuenberger, Edgar
Combined central retinal artery and vein occlusion following trabeculectomy
title Combined central retinal artery and vein occlusion following trabeculectomy
title_full Combined central retinal artery and vein occlusion following trabeculectomy
title_fullStr Combined central retinal artery and vein occlusion following trabeculectomy
title_full_unstemmed Combined central retinal artery and vein occlusion following trabeculectomy
title_short Combined central retinal artery and vein occlusion following trabeculectomy
title_sort combined central retinal artery and vein occlusion following trabeculectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285110/
https://www.ncbi.nlm.nih.gov/pubmed/35912131
http://dx.doi.org/10.3205/oc000205
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