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  • Neovascular glaucoma following Nd:YAG laser capsulotomy: a rare complication in a postvitrectomised patient with diabetes

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Case Reports: Learning from unexpected outcome (positive or negative)
Neovascular glaucoma following Nd:YAG laser capsulotomy: a rare complication in a postvitrectomised patient with diabetes
  1. Santosh Gopi Krishna Gadde,
  2. Akhila Sridharan,
  3. Nikitha Gurram Reddy and
  4. Chaitra Jayadev
  1. Vitreoretina Services, Narayana Nethralaya Eye Institute, Bangalore, India
  1. Correspondence to Dr Chaitra Jayadev; drchaitra{at}hotmail.com

Abstract

To describe a case of acute-onset neovascular glaucoma (NVG) after a neodymium:yttrium-aluminium-garnet (Nd:YAG) capsulotomy in a diabetic vitrectomized eye of a patient with severe systemic and ocular comorbidities. A man in his 50s underwent a Nd:YAG capsulotomy for visually significant posterior capsular opacification with a previous history of vitrectomy with silicone oil in situ for diabetic retinopathy. He had systemic and ocular comorbidities implicating an advanced ischaemic status, both systemically and locally. Five days post Nd:YAG capsulotomy, extensive neovascularisation of the iris and angles was noted. Despite maximum antiglaucoma medication, an evisceration ensued due to intractable NVG. This case report highlights the importance of irreversible complications after a seemingly simple capsulotomy in eyes with advanced ocular conditions and systemic comorbidities necessitating extreme caution.

  • Eye
  • Glaucoma
  • Retina

https://doi.org/10.1136/bcr-2022-249264

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    Footnotes

    • Contributors SGKG and CJ were instrumental in writing the paper. AS and NGR collected the data.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.