Neovascular glaucoma as a complication of retinal vasculitis in Crohn disease.
OBJECTIVE
To report a case of neovascular glaucoma as a complication of retinal vasculitis in Crohn disease.


METHODS
Case report with fluorescein angiogram.


RESULTS
A 62-year-old man with biopsy-proven Crohn disease presented with bilateral uveitis, bilateral iris new vessels, and neovascular glaucoma in the left eye. Fluorescein angiography revealed signs of retinal vasculitis and capillary nonperfusion in both eyes.


CONCLUSIONS
Crohn disease may be associated with retinal vasculitis and, thus, neovascular glaucoma. A satisfactory result can be achieved by using corticosteroids to control the retinal vascular inflammation, by applying panretinal photocoagulation and by controlling the increased intraocular pressure surgically.
Salmon
J F
JF
Oxford Eye Hospital, Radcliffe Infirmary, Oxford, United Kingdom.
Ursell
P G
PG
Frith
P
P
D000287:Administration, Topical; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D020327:Glaucoma Drainage Implants; D015355:Glaucoma, Neovascular / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005938:Glucocorticoids; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000098:blood supply / Q000601:surgery; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012171:Retinal Vessels / Q000473:pathology; D014657:Vasculitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014792:Visual Acuity
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011239:Prednisolone