Neovascular Glaucoma in MELAS syndrome

Am J Ophthalmol Case Rep. 2024 Apr 26:34:102064. doi: 10.1016/j.ajoc.2024.102064. eCollection 2024 Jun.

Abstract

Purpose: To describe examination and findings in a case of mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) with particular focus on the ocular sequelae from diabetes.

Observations: Neovascular glaucoma is not a common manifestation of MELAS.

Conclusions and importance: We present a rare case of neovascular glaucoma in a patient with MELAS with a history of diabetes, hearing loss, and macular dystrophy. MELAS should be suspected in patients with this constellation of symptoms.

Keywords: Inherited retinal disease; MELAS; Mitochondria; Neovascularization.

Publication types

  • Case Reports