University of Iowa Health Care

Ophthalmology and Visual Sciences

Iowa Glaucoma Curriculum

Supplementary Material


Chapter 31

Case from
Neovascular Glaucoma: 80-year-old man with recurrent vitreous hemorrhages, hyphema, and elevated intraocular pressure after a central retinal vein occlusion in the right eye.


Neovascular glaucoma cases from

Radiation-Induced Neovascularization

Neovascularization of the Angle in Diabetes: 20 year-old with type I diabetes mellitus.
NVI with PAS: Neovascularization of the angle with some open areas and areas that are closed by synechiae.
Courtesy of Howard Cohn, MD, American Hospital of Paris

Neovascularization of the Angle Pre- & Post-Laser: This 57 year-old man with a history of diabetes mellitus was seen with a sudden increase of intraocular pressure to 50 mmHg in his right eye. The patient had been treated for proliferative diabetic retinopathy with panretinal photocoagulation in the past. One will see that he has active neovascularization of the iridocorneal angle. The patient underwent further panretinal photocoagulation that day and one week later. Two weeks after the first video he was seen again with dramatic resolution of the neovascularization.
Courtesy of Young H. Kwon, M.D., Ph.D., University of Iowa.

Neovascularization onto the lens - slit lamp only: 41 year-old man with long-standing poorly controlled diabetes mellitus. He has had pan-retinal photocoagulation in this eye on many occasions. At this examination he had light perception vision.
Courtesy of Young H. Kwon, M.D., Ph.D., University of Iowa.

Neovascularization 360 deg Closed Angle: This 21 year-old man has had diabetes since two years of age. He has severe prolferative diabetic retinopathy for which he has undergone many sessions of panretinal photocoagulation as well as pars plana vitrectomy. He has Neovascular glaucoma for which he has had a Baerveldt seton placed.

Neovascularization of Angle with Peripheral Anterior Synechia: This 63 year-old woman had malignant lymphoma of the left orbit for which she received radiation therapy three years prior to this examination. She developed neovascularization of the angle with almost total closure of the angle except for a few clock hours. She was on four classes of medication and had adequate intraocular pressure control at the time that this video was taken.

Iris and Angle Neovascularization: This 80 year old patient was referred to the Glaucoma Service because of neovascular glaucoma. She had a history of a central retinal artery occlusion and ocular ischemia in her left eye. She developed neovascular glaucoma that was uncontrolled on maximal topical and systemic medications. At the time that she was evaluated her vision of hand motion and her intraocular pressure was 55 mmHg. She has ropy vessels and a membrane that distorted her pupil. Her angle is closed and there is hemorrhage in the inferior angle.

Neovascular Glaucoma: This 52 year-old man has severe juvenile glaucoma. This eye has had multiple pan retinal photocoagulations. He has a blind eye that has had cyclophotocoagulation and retrobulbar chlorpromazine. The angle neovascularization grows up onto the cornea.