Wydanie 1/2017
str. 56 - 60
Jaskra neowaskularna objawem maskującym guzów wewnątrzgałkowych
Neovascular Glaucoma – a Masking Picture of Intraocular Tumors
Dorota Pożarowska, Justyna Kłos-Rola, Andrzej Sawicki, Tomasz Żarnowski
Klinika Diagnostyki i Mikrochirurgii Jaskry Uniwersytetu Medycznego w Lublinie
Kierownik: prof. dr hab. n. med. Tomasz Żarnowski
Summary: Neovascular glaucoma is a kind of secondary glaucoma and is caused by severe retinal ischemia. It is a refractory condition with both difficult management and usually poor prognosis. Diabetic proliferative retinopathy and retinopathy after ischemic veins occlusion are the main underlying diseases. But neovascular glaucoma may also appear as a complication of other, more serious in prognosis conditions. Unfortunately the accurate diagnosis of the initiating disease may be difficult because of the haziness of refractive media. In this article we present two cases of neovascular glaucoma caused be the presence of advanced, undiagnosed earlier, intraocular tumors. Intraocular tumors are one of the less common causes of neovascular glaucoma. Because they are a life threatening conditions, one should always take them into account in a differential diagnosis of NVG, especially when the detailed eye fundus assessment is not possible. In such cases it is mandatory to perform additional imaging with ultrasound, computed tomography or magnetic resonance testing.
Słowa kluczowe: jaskra neowaskularna, guzy wewnatrzgałkowe, czerniak naczyniówki, zaćma, uraz.
Keywords: neovascular glaucoma, intraocular tumor, uveal melanoma, cataract, trauma.