 |
Case Report
Hyperperfusion syndrome: Aggravation of neovascular glaucoma after stenting for internal carotid artery stenosis
1 University of Colorado School of Medicine, 7777 E Yale Avenue, D107, Denver, Colorado, USA
2 Associate Professor of Medicine, Chair, VA Hospitalist Field Advisory Committee Chief, Hospital Medicine Section, Deputy Chief, Medicine Service, VA Eastern Colorado Health Care System, Associate Program Director, Medicine Residency, University of Colorado, Department of Medicine, 1700 N Wheeling St, Aurora, Colorado, USA
Address correspondence to:
Mel L Anderson
MD, FACP, Associate Professor of Medicine, Hospital Medicine Section, VA Eastern Colorado Health Care System, 1700 N Wheeling, Aurora, Colorado 80045,
USA
Message to Corresponding Author
Article ID: 100012Z17BL2019
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Loving BA, Qiu H, Walker J, Anderson ML. Hyperperfusion syndrome: Aggravation of neovascular glaucoma after stenting for internal carotid artery stenosis. J Case Rep Images Opthalmol 2019;2:100012Z17BL2019.ABSTRACT
Introduction: Cerebral hyperperfusion syndrome (CHS) is an exceedingly rare yet serious complication after abrupt revascularization of the carotid artery circulation with endarterectomy or stent placement.
Case Report: A 70-year-old male who had severe bilateral internal carotid artery (ICA) stenosis and a history of neovascular glaucoma (NVG) was referred to our institution for single staged right ICA stenting. Twenty-four hours after the procedure, he developed a painful red right eye with a fixed dilated pupil and complained of a right-sided periorbital throbbing headache. Tonometry of the right eye revealed a substantially elevated intraocular pressure (IOP).
Conclusion: There are few documented cases of aggravation of NVG after ICA stenting. To reduce the risk of NVG exacerbation as a complication of post-procedural CHS, close monitoring of perioperative IOP should be considered.
Keywords: Carotid revascularization, Cerebral hyperperfusion, Neovascular glaucoma
SUPPORTING INFORMATION
Author Contributions
Bailey A Loving - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Howe Qiu - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Jacob Walker - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Mel L Anderson - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Bailey A Loving et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
