DR. (LT COL ) MARIAM MATHEW

Abstract

64 YEAR OLD LADY PRESENTED WITH SEVERE PAIN AND LOSS OF VISION IN HER RIGHT EYE OF THREE DAYS DURATION. SHE GAVE HISTORY OF HAVING LOST VISION IN HER RIGHT EYE 3 MONTHS AGO WHICH WAS DIAGNOSED AS CENTRAL RETINAL ARTERY OCCLUSION ELSEWHERE AND VISION HAD PARTLY REGAINED IN HER RIGHT EYE.EXAMINATION REVEALED CFCF VISION IN HER RRIGHT EYE WITH IOP OF 50 MM OF HG. CORNEA WAS STEAMY WITH NVI ON THE PUPILLARY MARGIN. FUNDUS SHOWED SIGNS OF OLD CRAO WITH NVD AND NVE. AFTER REDUCING THE IOP WITH ANTIGLAUCOMA MEDICATIONS SHE UNDERWENT PRP AND INTRAVITREAL AVASTIN IN RIGHT EYE. SHE WAS THEREAFTER PLANNED FOR AUGMENTED TRABECULECTOMY IN THE RE. 3-18% OF PATIENTS DEVELOP NVG AFTER CRAO. ALL PATIENTS WITH CRAO SHOULD BE CLOSELY FOLLOWED UP FOR DEVELOPMENT OF NEOVASCULAR GLAUCOMA.