Iris and Angle Neovascularization

This 80 year old patient was referred to the Glaucoma Service because of neovascular glaucoma. She had a history of a central retinal artery occlusion and ocular ischemia in her left eye. She developed neovascular glaucoma that was uncontrolled on maximal topical and systemic medications. At the time that she was evaluated her vision of hand motion and her intraocular pressure was 55 mmHg. She has ropy vessels and a membrane that distorted her pupil. Her angle is closed and there is hemorrhage in the inferior angle.