Glaucoma neovascular. A propósito de un caso

Elina Caridad Pérez Molina, Zoila Fariñas Falcón

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Resumen

Se presenta un paciente masculino de  60  años de edad, con antecedentes de padecer Diabetes Mellitus tipo II complicada con retinopatía diabética, así como glaucoma neovascular de tórpida evolución en el ojo izquierdo (OI). Acude a Consulta de Glaucoma en el Centro Oftalmológico del Hospital Universitario “Arnaldo Milián Castro” de Villa Clara por presentar visión borrosa y  molestias oculares en su ojo derecho (OD). Al examen oftalmológico de dicho ojo se observa: disminución de la visión, sangramiento activo proveniente de vaso iridiano, edema corneal, rubeosis iridiana, hipertensión ocular y al fondo de ojo Retinopatía Diabética, se realizan complementarios hemáticos que muestran cifras de glicemia elevada (20 mmol/l). Se plantea el diagnóstico de Glaucoma Neovascular del OD en el curso de una  Diabetes Mellitus tipo II descompensada. Se le impone tratamiento médico - quirúrgico con el cual se logra una  evolución favorable.

Palabras clave

glaucoma neovascular; retinopatía diabética; edema corneal; diabetes mellitus tipo 2.


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