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[Retinopathy of prematurity complicated by late glaucoma: a case report]

C Faure1, G Caputo, J-A Sahel

  • 1Service d'ophtalmologie, Fondation Ophtalmologique Rothschild, Paris, France. celinefaureb@yahoo.fr

Journal Francais D'Ophtalmologie
|July 22, 2008
PubMed

Insights

Late-onset glaucoma can occur decades after retinopathy of prematurity (ROP) treatment. Prompt diagnosis requires awareness of ROP history, as iris vessel changes can mimic neovascular glaucoma.

Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Glaucoma

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Late-onset complications of ROP, such as glaucoma, can manifest decades after initial treatment.
  • Understanding the long-term sequelae of ROP is crucial for effective patient management.

Observation:

  • A 54-year-old woman with a history of prematurity presented with acute intraocular pressure elevation in her right eye.
  • Clinical examination revealed prominent iris vessel dilatation and corneal edema, obscuring fundus view.
  • Ocular echography was normal, but the fellow eye showed signs of cicatricial-stage retinopathy of prematurity.

Findings:

  • The patient was diagnosed with neovascular glaucoma, likely a late complication of retinopathy of prematurity.
  • Treatment involved cyclodestruction and transscleral cryoapplication to control intraocular pressure.
  • Fundus examination post-resolution of corneal edema showed peripheral retinal photocoagulation scars and iridocorneal synechiae.

Implications:

  • Prominent iris vessel dilatation in ROP patients can be mistaken for rubeosis, potentially leading to misdiagnosis.
  • A thorough patient history, including prematurity, is essential for accurate diagnosis of late ROP complications.
  • This case highlights the importance of long-term ophthalmic monitoring for individuals treated for retinopathy of prematurity.
Abstract

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