Neovascular glaucoma as a complication of retinal vasculitis in Crohn disease

Am J Ophthalmol. 2000 Oct;130(4):528-30. doi: 10.1016/s0002-9394(00)00609-7.

Abstract

Purpose: To report a case of neovascular glaucoma as a complication of retinal vasculitis in Crohn disease.

Methods: Case report with fluorescein angiogram.

Results: A 62-year-old man with biopsy-proven Crohn disease presented with bilateral uveitis, bilateral iris new vessels, and neovascular glaucoma in the left eye. Fluorescein angiography revealed signs of retinal vasculitis and capillary nonperfusion in both eyes.

Conclusion: Crohn disease may be associated with retinal vasculitis and, thus, neovascular glaucoma. A satisfactory result can be achieved by using corticosteroids to control the retinal vascular inflammation, by applying panretinal photocoagulation and by controlling the increased intraocular pressure surgically.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Anti-Inflammatory Agents / therapeutic use
  • Crohn Disease / complications*
  • Crohn Disease / diagnosis
  • Crohn Disease / therapy
  • Fluorescein Angiography
  • Fundus Oculi
  • Glaucoma Drainage Implants
  • Glaucoma, Neovascular / diagnosis
  • Glaucoma, Neovascular / etiology*
  • Glaucoma, Neovascular / therapy
  • Glucocorticoids
  • Humans
  • Intraocular Pressure
  • Iris / blood supply
  • Iris / surgery
  • Laser Coagulation
  • Male
  • Middle Aged
  • Prednisolone / therapeutic use
  • Retinal Diseases / complications*
  • Retinal Diseases / diagnosis
  • Retinal Diseases / therapy
  • Retinal Vessels* / pathology
  • Vasculitis / complications*
  • Vasculitis / diagnosis
  • Vasculitis / therapy
  • Visual Acuity

Substances

  • Anti-Inflammatory Agents
  • Glucocorticoids
  • Prednisolone