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Abstract #6785 Published in IGR 4-1
Surgical results of proliferative diabetic retinopathy with iris-angle rubeosis
Noma H; Minamoto A; Yamane K; Sugimoto E; Mizote HK; Mishima HFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2001; 52: 842-845
PURPOSE: To evaluate the surgical results of primary vitrectomy with glaucoma surgery as needed for proliferative diabetic retinopathy (PDR) with iris-angle rubeosis on vision and intraocular pressure (IOP). METHODS: The 39 eyes in this study were divided into two groups: 24 eyes without high IOP preoperatively (group A: non-glaucoma), and 15 eyes with high IOP preoperatively (group B: glaucoma). The authors compared the prognosis for vision and IOP in the two groups after primary vitrectomy for PDR with iris-angle rubeosis, with (group B) or without (group A) glaucoma surgery. RESULTS: After surgery, IOP was well-controlled below 21 mmHg in 21 (88%) of the eyes in group A and in 12 (80%) of the eyes in group B with or without topical treatment. Vision improved after surgery in the two groups, and the difference between the two groups regarding visual outcome was not significant. CONCLUSIONS: Even if IOP is not controlled preoperatively, vitrectomy with glaucoma surgery can result in relatively good visual prognosis and control of IOP in eyes of patients with PDR with rubeosis.
Dr. H. Noma, Department of Ophthalmology, Hiroshima University School of Med, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, 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)