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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 932-934

Neovascular glaucoma in atypical central serous chorioretinopathy and pachychoroid disease


LV Prasad Eye Institute, MTC Campus, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Aparna Rao
Glaucoma Services, LV Prasad Eye Institute, MTC campus, Patia, Bhubaneswar - 751 024, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_995_22

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We report an atypical central serous chorioretinopathy (CSCR) with pachychoroid disease and consequent recalcitrant neovascular glaucoma (NVG). A 45-year-old man with persistent subretinal fluid, pachychoroid and bilateral large areas of capillary nonperfusion exudative detachment, and CSCR presented with raised intraocular pressure (IOP) and neovascular glaucoma. Failure after trabeculectomy with mitomycin-C mandated the implantation of Ahmed glaucoma valve followed by two epiconjunctival MMC applications over the AGV plate/bleb in the hypertensive phase. He was also started on 25 mg oral eplerenone twice a day for the first month, followed by 25 mg once a day over the next two months, followed by intravitreal bevacizumab injection. The retinal neovascularization regressed along with normalization of IOP at over eight months follow-up.


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