Hypo and eyes

[Stumpy57]

Good morning All

Have just been to Moorfields eye hospital. They have identified new blood vessels in the iris - rubeosis iridis. Has anyone else developed this? There wasn’t much explanation of possible outcomes or treatment, just said they needed to monitor and would see me again in 4-6 weeks.

The sight in that eye is weaker than in the other and it does ache a bit. Pressures were good though.

Any similar experience would be helpful, thank you.

[milkwoman]

I have not heard of this so I googled rubeosis iridis. It appears to be a form of glaucoma. I found a case study that suggests a successful treatment.

For the full article:

karger.com/Article/FullText...

And here’s the abstract:

Abstract

Purpose: We report a case of topical corticosteroid treatment-resolved rubeosis iridis with neovascular glaucoma (NVG) caused by noninfectious granulomatous uveitis.

Case Report: A 61-year-old woman with left ocular pain and blurred vision was referred to our department. Visual acuity and intraocular pressure (IOP) were 20/60 and 37 mm Hg in the left eye, respectively. Inflammatory cells, hyphema, and rubeosis iridis were observed. All laboratory tests, including multiplex polymerase chain reaction for infection using aqueous humor, were negative, and there was neither retinal occlusive vasculitis nor retinal ischemia in the fundus. Our diagnosis was noninfectious granulomatous anterior uveitis-associated NVG. Topical corticosteroid treatment and anti-glaucoma agents resolved inflammation, rubeosis iridis, and NVG. IOP had decreased to 13 mm Hg by 1 month of treatment, and no recurrence was observed.

Conclusion: Topical corticosteroid could resolve rubeosis iridis and NVG in an eye with noninfectious anterior uveitis. The pathogenesis of NVG in eyes with uveitis is still unknown, but inflammation might have a part in angiogenesis. Anti-inflammatory treatment can be selected as the first choice for anterior uveitis-associated NVG.

[Stumpy57 in reply to milkwoman]

Thank you milkwoman. This will help me to have an informed discussion when I see them again in 4/6 weeks.

[Stumpy57 in reply to milkwoman]

Thank you so much milkwoman. Hospital have not commented on possible thyroid connection but it’s just another bit of me that’s not functioning properly. The article will give me some understanding of what they are talking about when I am seen again. When they said they would monitor it, I was expecting them to say in 6 / 12 months, but they say every 4 / 6 weeks. Worries me slightly. Thanks again.