Table 2.
Stages | Symptoms | Clinical Findings | Gonioscopy Findings | Tonometry | NVI | Prognosis | References |
---|---|---|---|---|---|---|---|
Pre-rubeosis | No visible symptoms | New vessels on the iris or in the angle of anterior chamber are not visible. Clinical findings of underlying disease causing retinal ischemia (PDR, CRVO, IOS). | Normal | Normal IOP | Absent | Good | [6,21] |
Rubeosis iridis
(Pre glaucoma) |
Eye redness, pain, photophobia | New abnormal blood vessels (NVI) randomly oriented over the iris surface and primarily observed in the pupillary edge of the iris. Impaired pupil response |
Open angles; NVA may be detected | Normal IOP | Present | Good | [18,21] |
Secondary
open-angle glaucoma |
Eye redness, pain, photophobia, mild headache | Occurs due to the formation of fibrovascular membrane on anterior surface of the iris and angle of anterior chamber. In time, this membrane causes the obstruction which disrupts fluid leakage through TM. Poorly reactive pupil |
Open angles; NVA may be visible | Raised IOP | Significant | Good if treatment is timely | [21] |
Secondary angle-closure glaucoma | Urgent ophthalmic condition: acute, severe eye pain; severe headache; nause/vomiting; conjuctival injection; swollen cornea; retinal bruising; hyphema |
Development of goniosynechiae resulting from contracture of the neovascular membrane. Distorted, mid-dilated pupil. | Closed angles; NVA not visible | High IOP (Often 40-60 mmHg) |
Significant with ectropion uveae | Bad | [6,20,21] |