PMC5366781_01
Color anterior segment picture: (a) right eye, whitish cataract and rubeosis iridis at the presentation; (b) left eye, nuclear sclerosis and rubeosis iridis at the presentation; (c) right eye, hypopyon, regressed rubeotic vessels, and the whitish cataract at the third postinjection day; (d) left eye, mild corneal edema, hypopyon, and intraocular lens at the second postcataract surgery (seventh postinjection day).
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fig1
Slit-lamp examination revealed severe rubeosis iridis with an almost white cataract in OD and 4+ nuclear sclerosis in OS (Figures 1(a) and 1(b)). A, Ibrahim Etem Ulagay, Turkey) simultaneously at the same setting in the operating theatre as we had a good experience with the simultaneous anti-VEGF and steroid injection in eyes with severe diabetic macular edema and proliferative diabetic retinopathy. At the third postinjection day, there was one mm hypopyon with 2+ cells in the right anterior chamber (Figure 1(c)) and the left eye was quiet with markedly regressed rubeosis. However, the left eye developed one mm hypopyon with 2+ cells again without any pain at the second postoperative day (Figure 1(d)).
Coronal oblique reformatted computed tomography angiographic image through the neck shows occlusion of both common carotid arteries. Both internal and external carotid arteries are patent, however, filling via collateral flow. Intracranial carotid circulation and posterior circulation are patent.
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fig2
Computerized tomography angiographic evaluation showed that both internal and external carotid arteries were perfused only by collaterals and there was marked stenosis in the common carotid arteries (Figure 2).
(a) Color anterior segment picture of the right eye with a quiet anterior segment and intraocular lens; (b) right composite fundus picture showing the laser scars scattered 360 degrees and a normal-looking macula; (c) right OCT scan depicting the normal macular contour; (d) color anterior segment picture of the left eye with a quiet anterior segment and intraocular lens; (e) left composite color fundus picture demonstrating the 360 degrees' scattered laser scars and a normal-looking macula; (f) left OCT scan depicting the normal macula.
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fig3
Both anterior segments were quiet (Figures 3(a) and 3(b)). Both posterior segments had full panretinal photocoagulation with a normal macula architecture (Figures 3(c), 3(d), 3(e), and 3(f)).