Neovascular glaucoma following carotid endarterectomy

We report a case of bilateral asymptomatic rebeosis iridis related to a bil ateral obstruction of the carotid arteries. The iridocorneal angles were cl osed by a neovascular membrane and intraocular pressures were normal within both eyes (normotensive neovascular glaucoma). After left carotid endarter ectomy, the increased perfusion of the ciliary body and the increased secre tion of aqueous humor resulted in a sudden bilateral ocular hypertension. M anagement of ocular neovascularization related to carotid artery obstructio n may involve the destruction of areas of retinal ishchemia (laser panretin al photocoagulation or cryotherapy) before carotid surgery.