Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report
Neovascular glaucoma is a rare and serious condition typically associated with advanced ocular or systemic vascular diseases such as central retinal vein occlusion or diabetic retinopathy. This report describes a unique case of neovascular glaucoma presenting for the first time as an initial symptom...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Biomedicines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9059/13/1/148 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832588970119135232 |
|---|---|
| author | Klaudia Rakusiewicz-Krasnodębska Joanna Jędrzejczak-Młodziejewska Krystyna Kanigowska Wojciech Hautz |
| author_facet | Klaudia Rakusiewicz-Krasnodębska Joanna Jędrzejczak-Młodziejewska Krystyna Kanigowska Wojciech Hautz |
| author_sort | Klaudia Rakusiewicz-Krasnodębska |
| collection | DOAJ |
| description | Neovascular glaucoma is a rare and serious condition typically associated with advanced ocular or systemic vascular diseases such as central retinal vein occlusion or diabetic retinopathy. This report describes a unique case of neovascular glaucoma presenting for the first time as an initial symptom of bilateral occlusive retinal vasculitis (ORV) in a generally healthy 4-year-old girl. The patient presented with symptoms of pain and redness in the left eye, accompanied by high intraocular pressure. These symptoms were particularly distressing and uncharacteristic for such a young child. Clinical examination revealed significant findings, including elevated intraocular pressure, corneal edema, and iris neovascularization in the left eye. Additional imaging studies, including fluorescein angiography, demonstrated extensive retinal ischemia with peripheral capillary nonperfusion, confirming the diagnosis of occlusive vasculitis. The management of this case was challenging due to the progressive and aggressive nature of the disease in a 4-year-old patient. This article aims to present the diagnostic and therapeutic strategies for the management of this condition. This report highlights a rare case of neovascular glaucoma as the first manifestation of bilateral ORV in a young child. The unusual presentation emphasizes the need for a high index of suspicion and comprehensive evaluation in cases of pediatric neovascular glaucoma. Early diagnosis and prompt, multimodal treatment are crucial in preventing irreversible vision loss in such cases. |
| format | Article |
| id | doaj-art-514e8af888714d62b8924160be8f37ac |
| institution | Kabale University |
| issn | 2227-9059 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj-art-514e8af888714d62b8924160be8f37ac2025-01-24T13:24:11ZengMDPI AGBiomedicines2227-90592025-01-0113114810.3390/biomedicines13010148Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case ReportKlaudia Rakusiewicz-Krasnodębska0Joanna Jędrzejczak-Młodziejewska1Krystyna Kanigowska2Wojciech Hautz3Department of the Pediatric Ophthalmology, Children’s Memorial Health Institute, 04-730 Warsaw, PolandDepartment of the Pediatric Ophthalmology, Children’s Memorial Health Institute, 04-730 Warsaw, PolandDepartment of the Pediatric Ophthalmology, Children’s Memorial Health Institute, 04-730 Warsaw, PolandDepartment of the Pediatric Ophthalmology, Children’s Memorial Health Institute, 04-730 Warsaw, PolandNeovascular glaucoma is a rare and serious condition typically associated with advanced ocular or systemic vascular diseases such as central retinal vein occlusion or diabetic retinopathy. This report describes a unique case of neovascular glaucoma presenting for the first time as an initial symptom of bilateral occlusive retinal vasculitis (ORV) in a generally healthy 4-year-old girl. The patient presented with symptoms of pain and redness in the left eye, accompanied by high intraocular pressure. These symptoms were particularly distressing and uncharacteristic for such a young child. Clinical examination revealed significant findings, including elevated intraocular pressure, corneal edema, and iris neovascularization in the left eye. Additional imaging studies, including fluorescein angiography, demonstrated extensive retinal ischemia with peripheral capillary nonperfusion, confirming the diagnosis of occlusive vasculitis. The management of this case was challenging due to the progressive and aggressive nature of the disease in a 4-year-old patient. This article aims to present the diagnostic and therapeutic strategies for the management of this condition. This report highlights a rare case of neovascular glaucoma as the first manifestation of bilateral ORV in a young child. The unusual presentation emphasizes the need for a high index of suspicion and comprehensive evaluation in cases of pediatric neovascular glaucoma. Early diagnosis and prompt, multimodal treatment are crucial in preventing irreversible vision loss in such cases.https://www.mdpi.com/2227-9059/13/1/148neovascular glaucomapediatric ophthalmologyocclusive retinal vasculitis (ORV)retinal ischemiaanti-vascular endothelial growth factor therapy |
| spellingShingle | Klaudia Rakusiewicz-Krasnodębska Joanna Jędrzejczak-Młodziejewska Krystyna Kanigowska Wojciech Hautz Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report Biomedicines neovascular glaucoma pediatric ophthalmology occlusive retinal vasculitis (ORV) retinal ischemia anti-vascular endothelial growth factor therapy |
| title | Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report |
| title_full | Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report |
| title_fullStr | Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report |
| title_full_unstemmed | Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report |
| title_short | Neovascular Glaucoma as the First Symptom of Bilateral Occlusive Retinal Vasculitis in a 4-Year-Old Girl: A Case Report |
| title_sort | neovascular glaucoma as the first symptom of bilateral occlusive retinal vasculitis in a 4 year old girl a case report |
| topic | neovascular glaucoma pediatric ophthalmology occlusive retinal vasculitis (ORV) retinal ischemia anti-vascular endothelial growth factor therapy |
| url | https://www.mdpi.com/2227-9059/13/1/148 |
| work_keys_str_mv | AT klaudiarakusiewiczkrasnodebska neovascularglaucomaasthefirstsymptomofbilateralocclusiveretinalvasculitisina4yearoldgirlacasereport AT joannajedrzejczakmłodziejewska neovascularglaucomaasthefirstsymptomofbilateralocclusiveretinalvasculitisina4yearoldgirlacasereport AT krystynakanigowska neovascularglaucomaasthefirstsymptomofbilateralocclusiveretinalvasculitisina4yearoldgirlacasereport AT wojciechhautz neovascularglaucomaasthefirstsymptomofbilateralocclusiveretinalvasculitisina4yearoldgirlacasereport |