PURPOSE: To report a case of neovascular glaucoma as a complication of reti
nal vasculitis in Crohn disease,
METHODS: Case report with fluorescein angiogram,
RESULTS: A 62-year-old man with biopsy-proven Crohn disease presented with
bilateral uveitis, bilateral iris new vessels, and neovascular glaucoma in
the left eye. Fluorescein angiography revealed signs of retinal vasculitis
and capillary nonperfusion in both eyes.
CONCLUSION: Crohn disease may be associated with retinal vasculitis and, th
us, neovascular glaucoma. A satisfactory result can be achieved by using co
rticosteroids to control the retinal vascular inflammation, by applying pan
retinal photocoagulation and by controlling the increased intraocular press
ure surgically. (C) 2000 by Elsevier Science Inc. All rights reserved.