Rubeosis iridis
| Rubeosis iridis | |
|---|---|
| Synonyms | Neovascularization of the iris |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Redness of the eye, pain, vision loss |
| Complications | Neovascular glaucoma, hyphema |
| Onset | Variable, often associated with diabetic retinopathy or central retinal vein occlusion |
| Duration | Chronic |
| Types | N/A |
| Causes | Ischemia of the retina, leading to VEGF release |
| Risks | Diabetes mellitus, retinal vein occlusion, ocular ischemic syndrome |
| Diagnosis | Slit lamp examination, gonioscopy, fluorescein angiography |
| Differential diagnosis | Conjunctivitis, iritis, angle-closure glaucoma |
| Prevention | N/A |
| Treatment | Panretinal photocoagulation, anti-VEGF therapy, glaucoma surgery |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause and treatment |
| Frequency | Rare |
| Deaths | N/A |
Rubeosis iridis is a medical condition characterized by the abnormal growth of new blood vessels in the iris of the eye. This condition is often associated with diabetes, retinal vein occlusion, and retinal detachment.
Causes
Rubeosis iridis is typically caused by a lack of oxygen in the retina, which can occur due to conditions such as diabetic retinopathy, retinal vein occlusion, and retinal detachment. These conditions can lead to the release of growth factors that stimulate the growth of new blood vessels in the iris.
Symptoms
The main symptom of rubeosis iridis is a reddish discoloration of the iris. Other symptoms can include blurred vision, eye pain, and loss of vision. In severe cases, rubeosis iridis can lead to neovascular glaucoma, a serious condition that can cause permanent vision loss.
Diagnosis
Rubeosis iridis is diagnosed through a comprehensive eye examination. This can include a slit lamp examination, which allows the doctor to examine the front part of the eye, and a gonioscopy, which allows the doctor to examine the angle of the eye where the iris meets the cornea.
Treatment
Treatment for rubeosis iridis typically involves addressing the underlying cause of the condition. This can include treatments for diabetic retinopathy, retinal vein occlusion, or retinal detachment. In some cases, laser therapy or surgery may be needed to reduce the growth of new blood vessels in the iris.
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Contributors: Prab R. Tumpati, MD