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The authors performed retinal cryocoagulation in five eyes with neovascular glaucoma. All eyes had received the maximum amount of panretinal photocoagulation. Neovascular glaucoma was unilateral in all cases and had been persistent for six months or less. It was due to diabetic retinopathy in four eyes and branch retinal arterial occlusion in one eye. The ages of patients ranged from 55-78 years. The chamber angle was open and had rubeosis in four eyes. Gonioscopy was not possible in the remaining eye due to hyphema. Cryocoagulation was applied over the conjunctiva, 12 mm posterior to the limbus, and circumferentially in two or three rows. Rubeosis started to regress five to 14 days after treatment. The intraocular pressure was controlled below 20 mmHg with or without medication in all the eyes. These findings show that retinal cryocoagulation is one of the effective therapeutic modalities for early neovascular glaucoma resistant to panretinal photocoagulation. LA: Japanese
Dr. O. Yamanaka, Department of Ophthalmology, Wakayama Medical University, 811-1 Kimii-dera, Wakayama-shi 641-0012, Japan
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)