An interesting case of rubeosis iridis with neovascular glaucoma in a young patient

Mishra, Avinash; Luthra, Saurab; Baranwal, Vinod Kumar; Parihar, Jitendra Kumar Singh

doi:10.1016/j.mjafi.2012.03.006

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…In severe stages of DR, new vessels are not confined to the retina; these can grow around the pupillary border, the root of iris and can penetrate the anterior surface of the iris in severe cases. This is known as iris neovascularization (NVI) or rubeosis which can lead to the potentially sight-threatening complication of neovascular glaucoma (NVG) [98]. It is crucial to detect NVI in its early stage as prompt treatment may prevent NVG.…”

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confidence: 99%

Optical coherence tomography angiography in diabetic retinopathy: a review of current applications

et al. 2019

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BackgroundDiabetic retinopathy (DR) is a leading cause of vision loss in adults. Currently, the standard imaging technique to monitor and prognosticate DR and diabetic maculopathy is dye-based angiography. With the introduction of optical coherence tomography angiography (OCTA), it may serve as a potential rapid, non-invasive imaging modality as an adjunct.Main textRecent studies on the role of OCTA in DR include the use of vascular parameters e.g., vessel density, intercapillary spacing, vessel diameter index, length of vessels based on skeletonised OCTA, the total length of vessels, vascular architecture and area of the foveal avascular zone. These quantitative measures may be able to detect changes with the severity and progress of DR for clinical research. OCTA may also serve as a non-invasive imaging method to detect diabetic macula ischemia, which may help predict visual prognosis. However, there are many limitations of OCTA in DR, such as difficulty in segmentation between superficial and deep capillary plexus; and its use in diabetic macula edema where the presence of cystic spaces may affect image results. Future applications of OCTA in the anterior segment include detection of anterior segment ischemia and iris neovascularisation associated with proliferative DR and risk of neovascular glaucoma.ConclusionOCTA may potentially serve as a useful non-invasive imaging tool in the diagnosis and monitoring of diabetic retinopathy and maculopathy in the future. Future studies may demonstrate how quantitative OCTA measures may have a role in detecting early retinal changes in patients with diabetes.

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Section: Main Textmentioning

confidence: 99%

Optical coherence tomography angiography in diabetic retinopathy: a review of current applications

et al. 2019

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“…In severe stages of DR new vessels are not confined to the retina and can grow around the pupillary border and the root of iris and can penetrate the anterior surface of the iris in severe cases. These abnormal iris vessels or 'rubeosis' often leads to serious complications such as spontaneous hyphemia and the often sight-threatening complication of neovascular glaucoma (NVG) [77]. Thus, it is useful to detect NVI at its early stage as prompt treatment may prevent the development of NVG.…”

Section: Iris Neovascularizationmentioning

confidence: 99%

Clinical Applications of Optical Coherence Angiography Imaging in Ocular Vascular Diseases

2019

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Optical coherence tomography angiography (OCTA) provides us with a non-invasive and efficient means of imaging anterior and posterior segment vasculature in the eye. OCTA has been shown to be effective in imaging diseases such as diabetic retinopathy; retinal vein occlusions; retinal artery occlusions; ocular ischemic syndrome; and neovascularization of the iris. It is especially useful with depth-resolved imaging of the superficial, intermediate, and deep capillary plexi in the retina, which enables us to study and closely monitor disease progression and response to treatment. With further advances in technology, OCTA has the potential to become a more widely used tool in the clinical setting and may even supersede ocular angiography in some areas.

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A Long-term Clinical Study to Evaluate AGV with Concurrent Intravitreal Ranibizumab vs Primary AGV Implantation in Cases of Refractory Neovascular Glaucoma

Singh¹,

Kaushik²,

Parihar³

et al. 2022

Journal of Current Glaucoma Practice

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An interesting case of rubeosis iridis with neovascular glaucoma in a young patient

Cited by 3 publications

References 9 publications

Optical coherence tomography angiography in diabetic retinopathy: a review of current applications

Optical coherence tomography angiography in diabetic retinopathy: a review of current applications

Clinical Applications of Optical Coherence Angiography Imaging in Ocular Vascular Diseases

A Long-term Clinical Study to Evaluate AGV with Concurrent Intravitreal Ranibizumab vs Primary AGV Implantation in Cases of Refractory Neovascular Glaucoma

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