Abstract

GONZALEZ RODRIGUEZ, Noris Thais et al. Presentation of an atypical case of neovascular glaucoma. AMC [online]. 2014, vol.18, n.1, pp.124-133. ISSN 1025-0255.

Background: neovascular glaucoma is one of the types of secondary glaucoma of difficult detection, handling, and treatment. Little time ago, the prognosis was uniformly serious and it caused the loss of the eyeball. Objective: to describe an atypical case of neovascular glaucoma in the province of Camagüey in August 2012.  Clinical case: the case of a thirty-two-year-old male patient is presented. The patient suffered from uveitis produced by a tick bite that caused him secondary glaucoma characterized by red eyes, intense eye pain without irradiation, and slow, progressive decrease of the visual acuity of the right eye of five years of evolution. The specialists of the glaucoma service assisted the patient. Moderate corneal edema, disorganization of the anterior eye segment, hyphema, and distinct ocular hypertension predominated in the ophthalmologic examination. The habitual medical therapy was applied without great results as it frequently happens with this disease. Conventional cyclodestructive procedures like cryoablation of the peripheral retina and transscleral cyclophotocoagulation of contact with laser diode in three quadrants, as well as intravitreal injection of triamcinolone acetate were also used. Conclusions: the reported case proves that a quick and certain diagnosis and an adequate and personalized intervention guarantee the success of the treatment.

Keywords : GLAUCOMA, NEOVASCULAR [therapy]; UVEITIS; TICKS; ADULT; CASE STUDIES.

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