This middle aged woman presents with elevated intraocular pr | Figure 1

nyeye

Ophthalmology

This middle aged woman presents with elevated intraocular pressure and the following anterior segment findings. What are some causes of neovascular glaucoma?

More about this case

Why you should join Figure 1

Similar cases



Subretinal neovascularization/hemorrhage in wet macular degeneration](https://app.figure1.com/case-detail/19c1dd88-f426-4280-8053-302d5024071f)



Female, age 67, caucasian, history of Ischaemic CRVO (central retinal vein occlusion) treated with intravitreal dexamethasone implant.
Two months later she developed a #Neovascular Glaucoma.
In the following pictures a typical feature is shown:
Neovascularization at the pupillary margin.
Subtle vessels start to grow radially from the pupillary margin towards the angle, an early detection of such sign could substantially improve the prognosis.
New vessels are more likely to be visualised on light coloured irises, red free filter could be helpful in the detection of abnormal vessels.
Treat by reducing elevated IOP avoiding miotics and prostaglandin derivatives, Atropine 1% to resist posterior synechiae and PAS formation, Panretinal and gonio photocoagulation may induce regression of neovascularization with Anti VEGF intravitreal injections as support therapy.



Interesting case of a 65YO WF who presented with a history of macular hole after 2 surgical attempts at a repair OD 2 years prior. Pt is also s/p PCIOL OD. Last eye exam 1 year prior. During exam, IOP was measured at 36mmHg OD, 14 mmHg OS. Pt denied any pain or discomfort. Visual fields were grossly full by confrontation. #Gonioscopy revealed open angles with iris processes noted in both eyes. OCT RNFL and fundoscopy revealed extensive optic nerve rim tissue thinning and cupping. Any differentials for why the IOP is so asymmetric? IOP OD dropped to 15 with Combigan bid OD.



wf58 Pseudoexfoliation #Glaucoma](https://app.figure1.com/case-detail/55b1dace-884c-4619-85c7-bab23208b5db)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?