A Case of Neovascular Glaucoma in Radiation Retinopathy.

Lee, Chang Gun; Lee, Joo Hwa; Kim, Sahng Yeon

Case Report

Journal of the Korean Ophthalmological Society 2001;42(8):1236-1239.
Published online August 1, 2001.

A Case of Neovascular Glaucoma in Radiation Retinopathy.

Chang Gun Lee, Joo Hwa Lee, Sahng Yeon Kim

Department of Ophthalmology, Inje University Sanggye Paik Hospital.

방사선망막증에서 발생한 신생혈관녹내장 1 례

이창건(Chang Gun Lee),이주화(Joo Hwa Lee),김상연(Sahng Yeon Kim)

Abstract

PURPOSE
To report a case in which radiotherapy damaged the microvasculatures of the retinal vessels and developed cotton-wool patches and retinal hemorrage as well as rubeosis iridis and intractable neovascular glaucoma. METHODS: A 64-year-old female presented with visual loss in her left eye two years after radiotherapy for malignant melanoma of the nasal cavity. The visual acuity of her left eye was counting fingers. Although any specific signs were not shown in the cornea or lens, multiple cotton-wool patches and retinal hemorrhages were noted around the optic disc. RESULTS: Multiple cotton-wool patches and retinal hemorrhages disappeared gradually. Finally, rubeosis iridis and intractable neovascular glaucoma developed which could not be controlled by panretinal photocoagulation. CONCLUSIONS: Radiotherapy for malignancy of the nasal cavity was associated with intractable neovascular glaucoma.

Key Words: Cotton-wool patches;Neovascular glaucoma;Radation retinopathy;Rubeosis iridis