Fuch's Heterochromic Iridocyclitis with Iris Neovascularization

This slit lamp photograph shows a stream of blood emanating from angle neovascularization at 11 o'clock (black arrows) causing hyphema. The intraocular pressure was 58. The 71 year old male patient had a 25 year history of Fuch's heterochromic iridocyclitis, which is a rare cause of neovascularization of the angle and iris that does not respond to panretinal photocoagulation because it is not based on retinal ischemia. In this case the patient was treated with an intraocular injection of bevacizumab, temporizing treatment with hypotonic drops, and subsequently definitive treatment with a tube shunt.