DR.KEERTHANA KEERTHU

Dr. K. SUBASHINI, DR. SHREYAS T S

Abstract

Neovacular glaucoma due to CCF is uncommon. A 30-Year-old male presented with complaints of sudden gross diminution of vision RE for 4 months associated. Past history of sustenance of head trauma 7 months ago,3 months following which patient developed abnormal protrusion of right eye and decreased vision. Ocular examination revealed VA of HMCF in right eye with inaccurate PR, conjunctival cork screw vessels, corneal oedema, NVI & posterior synechiae.RE IOP was 48 mm Hg, closed angles and no NVA on gonioscopy, fundus examination revealed combined vascular occlusion.MRI brain revealed engorged right SOV and dilated cavernous sinus. Digital subtraction angiography showed type A direct CCF. FFA revealed NVD with hyperfluorescence and surrounding non perfused areas. Patient received antiglaucoma medications, underwent transscleral cyclophotocoagulation and was planned for embolization. This case report discusses a rare vision threatening combined retinal and venous occlusion in case of CCF.