''The association of normal tension glaucoma with Buerger's disease: a case report''.
BACKGROUND
To report a case of a 48-year-old man with Buerger's disease who presented with bilateral normal-tension glaucoma (NTG).


METHODS
A 48-year-old man who had been diagnosed with Buerger's disease 12 years ago, and received bilateral below-the-knee amputations for ischemic ulcers of the lower limbs, presented at our clinic due to a sudden loss of visual acuity in the left eye. A fundus exam revealed a cup-to-disc ratio of 0.5 for the right eye and 0.8 for the left eye, arteriolar constriction in both eyes, retinal edema in the inferopapillary area, and splinter hemorrhages and soft exudate in the left eye. We diagnosed the patient as having acute nasal branch retinal artery occlusion in the left eye and bilateral NTG, as a result of the ophthalmologic examination and the other findings.


CONCLUSIONS
Although the pathomechanism of NTG is still unknown, previous studies have suggested that patients with NTG show a higher prevalence of vasospastic disorders. We present the second report of NTG associated with Buerger's disease to be described in the literature.
Department of Ophthalmology, Kafkas University, Faculty of Medicine, Kars, Turkey. yarankoban@yahoo.com.au.
Yaran
Y
Koban
Gorkem
G
Bilgin
Halil
H
Cagatay
Macit
M
Bitargil
Hatice
H
Ozlece
Metin
M
Ekinci
Defne
D
Kalayci
D016893:Carotid Stenosis / Q000175:diagnosis; D005451:Fluorescein Angiography; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D057066:Low Tension Glaucoma / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology*; D013919:Thromboangiitis Obliterans / Q000150:complications* / Q000175:diagnosis; D018615:Ultrasonography, Doppler, Color; D058609:Visual Field Tests; D014794:Visual Fields