NEOVASCULAR GLAUCOMA, A LATE COMPLICATION OF CENTRAL RETINAL VEIN OCCLUSION
Abstract:
The purpose of this paper is to present the evolution of central retinal vein occlusion (CRVO) in a young patient with risk factors (thrombophilia and hypercholesterolemia) and the therapeutic management of the condition. The complications of the CRVO are macular edema and neovascular glaucoma. Treatment of the complications is medical, intravitreal injection with vascular endothelial growth factors (VEGF) inhibitors (Avastin) and steroidal anti inflammatory drugs (triamcinolone acenoide), and surgical, trabeculectomy with iridectomy and postoperative subconjunctival 5-fluorouracil (5-FU) injections. The management of CRVO summarises two major objectives, identifying risk factors with their management and recognising and treating sight threatening complications that can be encountered. The particularity of this case is the patients’ early age, NVG being a late secondary complication of CRVO in the elderly.
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