|Year : 2021 | Volume
| Issue : 4 | Page : 862
Neovascularization over intraocular lens in ocular ischemic syndrome
R Sharmila, Vijayalakshmi A Senthil Kumar
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Anna Nagar, Madurai, Tamil Nadu, India
|Date of Web Publication||09-Oct-2021|
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Anna Nagar, Madurai - 625 020, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sharmila R, Senthil Kumar VA. Neovascularization over intraocular lens in ocular ischemic syndrome. Indian J Ophthalmol Case Rep 2021;1:862
A septuagenarian with a past history of ocular ischemic syndrome in the left eye (OS), presented to us 5 years later, with pain in OS for 3 months. Five years earlier, he had classical signs of ocular ischemia in OS. He had 3/60 vision in OS with, 180 degree new vessels over the iris and the angles with normal intraocular pressure. Posterior pole evaluation showed narrowed retinal arteries with mid-peripheral retinal hemorrhages. Fundus fluorescein angiography OS showed delayed choroidal filling and prolonged arterio-venous transit time. Carotid Doppler and computed tomogram (CT) angiography revealed bilateral atherosclerotic disease involving the left carotid circulation. He was on treatment for ischemic cardiac disease for 15 years. Slit-lamp examination OS revealed a well-defined neovascular frond extending over the posterior chamber intraocular lens without any neovascularization of the iris [Figure 1]a and [Figure 1]b. He had no PL with high intraocular pressure of 32 mmHg. He was treated conservatively with cycloplegics and ocular hypotensive medications owing to poor visual potential. Here, we report a rare case of neovascularization over intraocular lens. Lenticular neovascularization has been sparsely reported in the literature.,,
|Figure 1: (a) Slit-lamp image of the left eye showing temporally decentered intraocular lens with a well-defined tuft of vessels extending over intraocular lens from 6'o clock to 11'o clock hours without any neovascularization of iris. (b) Higher magnification shows a fine net of vessels growing over the intraocular lens centripetally|
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