%0 Journal Article
%T Visual recovery in a patient with total hyphema, neovascular glaucoma, long-standing retinal detachment and no light perception vision: a case report
%A Olusola Olawoye
%A Christopher C Teng
%A Uri Shabto
%A Jeffrey M Liebmann
%A Francis A L'Esperance
%A Robert Ritch
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-221
%X A 63-year-old Caucasian man with a 55-year history of long-standing retinal detachment after trauma presented to our facility with pain and redness, a total hyphema, no light perception vision and an intraocular pressure of 60 mmHg (right eye). He had a history of diabetes mellitus and coronary artery disease. Following anterior chamber washout, he was found to have neovascular glaucoma, for which intravitreal bevacizumab was administered. After washout and intraocular pressure control, his visual acuity improved to light perception. He subsequently underwent vitrectomy, membrane peeling, endolaser and silicone oil placement to reattach his retina, and then a second retinal reattachment procedure. Following these procedures, he had visual recovery to counting fingers vision in his right eye at five metres, complete regression of neovascularization, and intraocular pressure of 10 to 12 mmHg on one antiglaucoma medication.Functional vision can be regained despite long-standing retinal detachment.Long-standing retinal detachments (over one year) with poor visual acuity are typically associated with cystic degeneration of the macula and retina, loss of pigment from the underlying retinal pigment epithelium, proliferative vitreoretinopathy, and poor visual outcome after retinal reattachment surgery [1].Chronic retinal detachment is a cause of rubeosis iridis and neovascularization of the anterior chamber angle with subsequent neovascular glaucoma (NVG). NVG represents one of the most severe forms of secondary glaucoma, caused by a number of ocular and systemic conditions. Retinal ischemia and hypoxia initiate the release of angiogenesis factors, with consequent development of new vessels.We report the case of a patient with total hyphema, NVG, long-standing retinal detachment and no light perception (NLP) vision, who regained counting fingers (CF) vision with complete regression of the neovascularization following anterior chamber (AC) washout, intravitreal bevacizumab,
%U http://www.jmedicalcasereports.com/content/5/1/221