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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 862

Neovascularization over intraocular lens in ocular ischemic syndrome


Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Anna Nagar, Madurai, Tamil Nadu, India

Date of Web Publication09-Oct-2021

Correspondence Address:
R Sharmila
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_550_21

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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

How to cite this URL:
Sharmila R, Senthil Kumar VA. Neovascularization over intraocular lens in ocular ischemic syndrome. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 21];1:862. Available from: https://www.ijoreports.in/text.asp?2021/1/4/862/327695



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.[1],[2],[3]
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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Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kabat AG. Lenticular neovascularization subsequent to traumatic cataract formation. Optom Vis Sci 2011;88:1127-32.  Back to cited text no. 1
    
2.
Patel P, Rodman J. Intralenticular neovascularization in a cataractous crystalline lens. Optometry 2012;83:125-6.  Back to cited text no. 2
    
3.
Eren E, Küçükerdönmez C, Yilmaz G, Akova YA. Regression of neovascular posterior capsule vessels by intravitreal bevacizumab. J Cataract Refract Surg 2007;33:1113-5.  Back to cited text no. 3
    


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