Neovascular Glaucoma Following Stereotactic Radiosurgery for an Optic Nerve Glioma: A Case Report.
10.3341/kjo.2010.24.4.252
- Author:
Sohee JEON
1
;
Na Young LEE
;
Chan Kee PARK
Author Information
1. Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. ckpark@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Neovascular glaucoma;
Optic nerve glioma;
Radiosurgery
- MeSH:
Adolescent;
Diagnosis, Differential;
Female;
Fluorescein Angiography;
Follow-Up Studies;
Fundus Oculi;
Glaucoma, Neovascular/diagnosis/*etiology/physiopathology;
Glioma/diagnosis/*surgery;
Gonioscopy;
Humans;
Intraocular Pressure;
Magnetic Resonance Imaging;
Optic Nerve Neoplasms/diagnosis/*surgery;
Radiosurgery/*adverse effects
- From:Korean Journal of Ophthalmology
2010;24(4):252-255
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 13-year-old girl with a right intraorbital optic nerve glioma (ONG) was referred to our glaucoma clinic because of uncontrolled intraocular pressure (IOP) in her right eye. The IOP reached as high as 80 mmHg. Several months earlier, she had undergone stereotactic image-guided robotic radiosurgery using the CyberKnife for her ONG; the mass had become smaller after treatment. Her visual acuity was no light perception. Slit lamp examination revealed rubeosis iridis, a swollen pale optic disc, and vitreous hemorrhage. After medical treatment, the IOP decreased to 34 mmHg, and no pain was reported. Although the mass effect of an ONG can cause neovascular glaucoma (NVG), this case shows that stereotactic radiosurgery may also cause NVG, even after reducing the mass of the tumor. Patients who undergo radiosurgery targeting the periocular area should be followed carefully for complications.
