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Abstract #10448 Published in IGR 6-1
Outcome five years after surgery for neovascular glaucoma secondary to proliferative diabetic retinopathy
Kono T; Takesue Y; Shiga SJapanese Journal of Clinical Ophthalmology 2004; 58: 181-185
The authors surgically treated ten eyes of seven patients with neovascular glaucoma secondary to proliferative diabetic retinopathy. Their ages at the time of surgery ranged from 44 to 63 years, average 51 years. As the standard procedure, each eye underwent pars plana lensectomy and vitrectomy. Reattachment of the retina was induced by excision of vitreous and proliferative membrane. Panretinal photocoagulation was performed up to the ora serrata. Rubeosis iridis disappeared in all eyes after surgery. Visual acuity before surgery was no light perception in two eyes, light perception in two eyes, 0.2 in one eye, and 0.5 or over five eyes. Visual acuity five years after surgery was no light perception in three eyes, light perception in one eye, 0.1 in one eye, and 0.5 or over in seven eyes. There was no instance of marked decrease in visual acuity after surgery. Intraocular pressure five years after surgery was over 40 mmHg in two eyes, hypotonic in one eye, and was within the normal range in seven eyes. These findings show that visual acuity can be maintained for five years when surgery induces resolution of neovascular glaucoma. LA: Japanese
Dr. T. Kono, Department of Ophthalmology, Fukuoka University Chikushi Hospital, 377-1 Zokumyoin, Chikushino 818-8502, Japan
Classification:
9.4.5.1 Neovascular glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)
