상대정맥증후군 환자에서 발생한 안허혈에 의한 신생혈관녹내장 1예

• 영문명: Neovascular Glaucoma with Ocular Ischemia in Superior Vena Cava Syndrome
• 발행기관: 대한안과학회
• 저자명: 전지훈 조경진 장기철 장무환,Ji Hoon Jeon, MD, Kyong Jin Cho, MD, Ki Cheol Chang, MD, PhD, Moo Hwan Chang, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number9, 1346~1351쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.09.15

영문 초록

Purpose: To report a case of neovascular glaucoma (NVG) with ocular ischemia in superior vena cava syndrome (SVCS). Case summary: A 57-year old male who had been treated for small cell lung cancer (SCLC) visited our hospital because of SVCS-like symptoms and decreased visual acuity in the right eye. On the initial examination, best corrected visual acuity was 0.5, intraocular pressure (IOP) was 38 mm Hg and relative afferent papillary defect was positive in the right eye. Slit lamp examination showed mild dilatation and tortuosity of the episcleral vessels and ruobeosis iridis. Gonioscopic examination showed neovascularization of the opened angle. Fluorescein angiography showed delayed choroidal filling and nevascularization of the disc. The patient was diagnosed with NVG with ocular ischemia in SVCS and was treated with chemotherapy and steroid therapy. In addition, intravitreal bevacizumab and IOP lowering eyedrops were administered to the right eye. During follow-up, neovascularizations disappeared and IOP was well controlled. Conclusions: NVG with ocular ischemia in SVCS should be considered as a possible cause of high IOP in SCLC patients. J Korean Ophthalmol Soc 2012;53(9):1346-1351

키워드

Neovascular glaucoma, Superior vena cava syndrome