Acta Medica Iranica 2013. 51(9):657-660.

Bilateral retinal vein occlusion and rubeosis irides: lessons to learn.
Umi Kalthum Md Noh, Amin Ahem, Mushawiahti Mustapha


Uncontrolled hypertension is well- known to give rise to systemic complications involving multiple central organs. Artherosclerosis leads to damage of the retinal vessels wall, contributing to venous stasis, thrombosis and finally, occlusion. Retinal vein occlusions compromise vision through development of ischaemic maculopathy, macular oedema, and rubeotic glaucoma. Laser photocoagulation remains the definitive treatment for ischaemic vein occlusion with secondary neovascularization. Timely treatment with anti- vascular endothelial growth factor prevents development of rubeotic glaucoma. We hereby report an unusual case of bilateral retinal vein occlusion complicated by rubeosis irides, which was successfully managed to improve vision and prevent rubeotic glaucoma.


Anti- vascular endothelial growth factor; Retinal vein occlusion; Rubeosis irides

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