Neovascular Glaucoma with Ocular Ischemia in Superior Vena Cava Syndrome.

Jeon, Ji Hoon; Cho, Kyong Jin; Chang, Ki Cheol; Chang, Moo Hwan

doi:2012.53.9.1346

J Korean Ophthalmol Soc > Volume 53(9); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(9):1346-1351.
DOI: https://doi.org/10.3341/jkos.2012.53.9.1346 Published online September 15, 2012.

Neovascular Glaucoma with Ocular Ischemia in Superior Vena Cava Syndrome.

Ji Hoon Jeon, Kyong Jin Cho, Ki Cheol Chang, Moo Hwan Chang

¹Department of Ophthalmology, Dankook University Medical College, Cheonan, Korea. changmh@dankook.ac.kr
²Onnuri Eye Clinic, Jeonju, Korea.

상대정맥증후군 환자에서 발생한 안허혈에 의한 신생혈관녹내장 1예

전지훈¹⋅조경진¹⋅장기철²⋅장무환¹

Department of Ophthalmology, Dankook University Medical College¹, Cheonan, Korea
Onnuri Eye Clinic², Jeonju, Korea

Abstract

PURPOSE
To report a case of neovascular glaucoma (NVG) with ocular ischemia in superior vena cava syndrome (SVCS). CASE SUMMARY: A 57-year old male who had been treated for small cell lung cancer (SCLC) visited our hospital because of SVCS-like symptoms and decreased visual acuity in the right eye. On the initial examination, best corrected visual acuity was 0.5, intraocular pressure (IOP) was 38 mm Hg and relative afferent papillary defect was positive in the right eye. Slit lamp examination showed mild dilatation and tortuosity of the episcleral vessels and ruobeosis iridis. Gonioscopic examination showed neovascularization of the opened angle. Fluorescein angiography showed delayed choroidal filling and nevascularization of the disc. The patient was diagnosed with NVG with ocular ischemia in SVCS and was treated with chemotherapy and steroid therapy. In addition, intravitreal bevacizumab and IOP lowering eyedrops were administered to the right eye. During follow-up, neovascularizations disappeared and IOP was well controlled. CONCLUSIONS: NVG with ocular ischemia in SVCS should be considered as a possible cause of high IOP in SCLC patients.

Key Words: Neovascular glaucoma;Superior vena cava syndrome