Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion

Aya Kodama, Koji Sugioka, Kazuki Kuniyoshi, Sachiko Okuyama, Chota Matsumoto, Yoshikazu ShimomuraDepartment of Ophthalmology, Kinki University Faculty of Medicine, Osaka-Sayama City, Osaka, JapanAbstract: Neovascular glaucoma (NVG) secondary to internal carotid artery (ICA) occlusion is usually resi...

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Autores principales:	Aya Kodama, Koji Sugioka, Kazuki Kuniyoshi, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/dc3badfa104a4db38ed55f721ed742df
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spelling	oai:doaj.org-article:dc3badfa104a4db38ed55f721ed742df2021-12-02T03:40:40ZIntravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion1177-54671177-5483https://doaj.org/article/dc3badfa104a4db38ed55f721ed742df2010-10-01T00:00:00Zhttp://www.dovepress.com/intravitreal-bevacizumab-injection-and-carotid-artery-stent-replacemen-a5464https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Aya Kodama, Koji Sugioka, Kazuki Kuniyoshi, Sachiko Okuyama, Chota Matsumoto, Yoshikazu ShimomuraDepartment of Ophthalmology, Kinki University Faculty of Medicine, Osaka-Sayama City, Osaka, JapanAbstract: Neovascular glaucoma (NVG) secondary to internal carotid artery (ICA) occlusion is usually resistant to treatment. We report a case of NVG with ICA occlusion improved by intravitreal bevacizumab (IVB) injection and carotid artery stent replacement (CAS), even though we did not perform panretinal photocoagulation. A 67-year-old male with NVG noted visual loss in his left eye. Magnetic resonance angiography showed left ICA occlusion. He was diagnosed with NVG secondary to ICA occlusion. The next day, we carried out IVB injection in his left eye, following which the iris and angle neovascularization regressed, and the intraocular pressure decreased to normal within a day after the injection. CAS was performed on his left ICA at a month post injection. Two months later, we reinjected bevacizumab in his left eye. His condition remained stable with no recurrence over two years. This case indicates that IVB injection and CAS are useful for early-stage NVG secondary to ICA occlusion.Keywords: bevacizumab, neovascular glaucoma, internal carotid artery occlusion, carotid artery stent replacement, vascular endothelial growth factor Aya KodamaKoji SugiokaKazuki Kuniyoshiet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 1177-1180 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Aya Kodama Koji Sugioka Kazuki Kuniyoshi et al Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
description	Aya Kodama, Koji Sugioka, Kazuki Kuniyoshi, Sachiko Okuyama, Chota Matsumoto, Yoshikazu ShimomuraDepartment of Ophthalmology, Kinki University Faculty of Medicine, Osaka-Sayama City, Osaka, JapanAbstract: Neovascular glaucoma (NVG) secondary to internal carotid artery (ICA) occlusion is usually resistant to treatment. We report a case of NVG with ICA occlusion improved by intravitreal bevacizumab (IVB) injection and carotid artery stent replacement (CAS), even though we did not perform panretinal photocoagulation. A 67-year-old male with NVG noted visual loss in his left eye. Magnetic resonance angiography showed left ICA occlusion. He was diagnosed with NVG secondary to ICA occlusion. The next day, we carried out IVB injection in his left eye, following which the iris and angle neovascularization regressed, and the intraocular pressure decreased to normal within a day after the injection. CAS was performed on his left ICA at a month post injection. Two months later, we reinjected bevacizumab in his left eye. His condition remained stable with no recurrence over two years. This case indicates that IVB injection and CAS are useful for early-stage NVG secondary to ICA occlusion.Keywords: bevacizumab, neovascular glaucoma, internal carotid artery occlusion, carotid artery stent replacement, vascular endothelial growth factor
format	article
author	Aya Kodama Koji Sugioka Kazuki Kuniyoshi et al
author_facet	Aya Kodama Koji Sugioka Kazuki Kuniyoshi et al
author_sort	Aya Kodama
title	Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
title_short	Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
title_full	Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
title_fullStr	Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
title_full_unstemmed	Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
title_sort	intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/dc3badfa104a4db38ed55f721ed742df
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Intravitreal bevacizumab injection and carotid artery stent replacement for neovascular glaucoma in internal carotid artery occlusion

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