Document Detail


Bilateral rubeosis iridis and rubeotic glaucoma due to peripheral occlusive vasculitis associated with multiple sclerosis.
MedLine Citation:
PMID:  21895514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CASE: This is a rare case of bilateral rubeosis iridis and rubeotic glaucoma in the setting of a branch retinal vein occlusion, widespread peripheral periphlebitis, and angiographic peripheral closure associated with "clinically definite" multiple sclerosis.
DISCUSSION: The case illustrates the extreme end of the spectrum of peripheral retinal ischemia and neovascularization associated with demyelinating disease, which can present as rubeotic glaucoma. Such patients require a proactive approach to inflammation, neovascularization, and raised intraocular pressure, including systemic immunosuppression, photocoagulation, and augmented trabeculectomy, respectively. As with other causes of peripheral ischemia, a favorable visual outcome can often be achieved using this strategy.
Authors:
S J Turner; A Dharmasena; J Deane
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-09-06
Journal Detail:
Title:  Ocular immunology and inflammation     Volume:  19     ISSN:  1744-5078     ISO Abbreviation:  Ocul. Immunol. Inflamm.     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-05     Completed Date:  2012-02-13     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9312169     Medline TA:  Ocul Immunol Inflamm     Country:  England    
Other Details:
Languages:  eng     Pagination:  373-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acetazolamide / therapeutic use
Adult
Glaucoma, Neovascular / etiology*,  surgery
Humans
Immunosuppressive Agents / therapeutic use
Iritis / etiology*,  surgery
Light Coagulation
Male
Mitomycin / therapeutic use
Multiple Sclerosis / complications*
Prednisolone / therapeutic use
Retinal Neovascularization / complications*,  surgery
Retinal Vein Occlusion / complications*,  etiology
Treatment Outcome
Visual Acuity / drug effects
Chemical
Reg. No./Substance:
0/Immunosuppressive Agents; 50SG953SK6/Mitomycin; 9PHQ9Y1OLM/Prednisolone; O3FX965V0I/Acetazolamide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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