Abedin S, Simmons R J
Ann Ophthalmol. 1982 Mar;14(3):284-7.
A 58-year-old woman was seen with a red inflamed right eye with rubeosis iridis and neovascular glaucoma with closure of the angle. There was no evidence of the diabetes and no evidence of occlusion of the central retinal vein. Physical examination was normal except for an absent carotid pulse on the right side, a carotid bruit on the left side, and absence of the pulse in all extremities. Further evaluation revealed severe arteriosclerosis involving many major branches of the aorta, including both carotid arteries. This patient had neovascular glaucoma as the only presenting sign of severely arteriosclerotic stenosis of both carotid arteries. This case demonstrates the need for emphasis on this rare but occult life-threatening cause of neovascular glaucoma. Ophthalmologists should be alert to the possible presence of carotid occlusive disease as a causative factor when cases of neovascular glaucoma are encountered.
一名58岁女性因右眼发红发炎、虹膜红变及新生血管性青光眼伴房角关闭前来就诊。没有糖尿病的证据，也没有视网膜中央静脉阻塞的证据。体格检查除右侧颈动脉搏动消失、左侧颈动脉杂音及四肢脉搏消失外均正常。进一步评估显示严重动脉硬化累及主动脉的许多主要分支，包括双侧颈动脉。该患者以新生血管性青光眼作为双侧颈动脉严重动脉硬化狭窄的唯一表现体征。本病例表明需要重视这种罕见但隐匿的危及生命的新生血管性青光眼病因。眼科医生在遇到新生血管性青光眼病例时，应警惕颈动脉闭塞性疾病作为致病因素的可能存在。
