Abstract

66yr old male patient presented to OPD with sudden onset painful dimunition of vision in RE since 3days.Patient ,a known hypertensive and diabetic underwent CABG a month back ,RE cataract surgery was done 8 months ago when fundus did not show any retinopathy .At presentation he had 6/60 vision ,ciliary congestion ,corneal edema,,peri-pupillary new vessels on iris , with IOP of 54mmHg.A diagnosis of NVG was made and 3 topical and systemic anti glaucoma medications were started along with topical steroid and cycloplegic .Fundus showed bilateral moderate NPDR changes with 0.7 cupping ,inferior notch and pale temporal rim RE. Gonioscopy showed 360 degree angle neovascularisation with grade 4 pigmentation . FFA showed multiple ischemic changes in RE for which PRPC was done.A month later, RE Trabeculectomy with MMC was performed.1 month followup showed RE corrected vision of 6/9 , disappearence of new vessels on iris ,a good filtering bleb ,controlled IOP and stable fundus .