title: Paradoxical development of neovascular glaucoma following carotid angioplasty and stenting.
abstract: This report describes a very rare ocular complication of carotid intervention. A 74-year-old patient presented with left-sided weakness and was diagnosed with right cerebral border-zone infarctions caused by severe stenosis of the right proximal internal carotid artery. Staged carotid intervention (balloon angioplasty followed by stenting) was successfully performed. However, neovascular glaucoma developed following carotid angioplasty and stenting. We concluded that although carotid angioplasty and stenting improves vision in patients with ischemic oculopathy, it can rarely induce paradoxical visual deterioration such as development or aggravation of neovascular glaucoma.
authors.affiliation: Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea.
authors.forename: Kyung Mi
authors.initials: KM
authors.lastname: Lee
authors.affiliation: Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea euijkim@hanmail.net.
authors.forename: Eui Jong
authors.initials: EJ
authors.lastname: Kim
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea.
authors.forename: Sung Hyuk
authors.initials: SH
authors.lastname: Heo
authors.affiliation: Department of Ophthalmology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea.
authors.forename: Kyung Hyun
authors.initials: KH
authors.lastname: Jin
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D016893:Carotid Stenosis / Q000628:therapy*; D038524:Diffusion Magnetic Resonance Imaging; D015355:Glaucoma, Neovascular / Q000209:etiology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D015607:Stents / Q000009:adverse effects*
keywords: Neovascular glaucoma; balloon angioplasty; carotid artery stenting; complication of intervention