TITLE:
Acute Uveitis in Neovascular Glaucoma Patient after a Single Dose of Travoprost
AUTHORS:
Lijun Wang, Jing Zhu, Qian Feng, Junfeng Yang
KEYWORDS:
Travoprost, Uveitis, Glaucoma, Prostaglandin Analogues, Intraocular Pressure
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.13 No.8,
August
15,
2024
ABSTRACT: A 38-year-old man with no history of uveitis developed neovascular glaucoma (NVG) due to proliferative diabetic retinopathy (PDR). He had a history of ocular surgery with placement of glaucoma drainage implants (GDI), ultrasonic phacoemulsification, and intraocular lens implantation in both eyes. The patient had undergone a recent pars plana vitrectomy with complete panretinal photocoagulation (PRP) to clear vitreous hemorrhage in his right eye. To prevent progressive optic nerve damage, travoprost was tentatively administered because of inadequate intraocular pressure (IOP) control following surgery, laser treatment, and topical administration of many other IOP-lowering drugs. The patient experienced severe vision loss associated with acute anterior and intermediate uveitis. We consider it a rare complication due to the NVG patient’s vulnerability following ocular surgery. Given that acute uveitis developed rapidly and required time to resolve, systemic corticosteroid treatment could be considered to accelerate the resolution of inflammation.