Neovascular glaucoma as a complication of retinal vasculitis in Crohn disease.

PURPOSE

To report a case of neovascular glaucoma as a complication of retinal 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, thus, neovascular glaucoma. A satisfactory result can be achieved by using corticosteroids to control the retinal vascular inflammation, by applying panretinal photocoagulation and by controlling the increased intraocular pressure surgically.