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Abstract #9268 Published in IGR 5-2
Visual outcome of diabetic retinopathy with neovascular glaucoma
Moriguchi K; Yamada H; Kawai E; Fujiseki Y; Wada M; Kiuchi K; Tsumura A; Hatano H; Matsumura MJapanese Journal of Clinical Ophthalmology 2003; 57: 1095-1098
PURPOSE: To review diabetic retinopathy patients with neovascular glaucoma from the clinical records of the past six years. CASES AND METHODS: The authors identified 40 affected eyes in 29 patients, after excluding cases with no light perception and cases already operated on. The series comprised 32 eyes of 22 males and eight eyes of seven females. Ages ranged from 47-74 years; average, 58 years. RESULTS: Additional photocoagulation was performed on 32 eyes. Glaucoma surgery was performed on 24 eyes. Final intraocular pressure (IOP) below 20 mmHg was obtained in 34 eyes (85%) with or without medication. Final visual acuity was 0.1 or over in 20 eyes (50%). It was less than 0.01 in nine eyes (23%). Final visual acuity was 0.1 or over in 18 of 29 eyes (62%) with IOP over 21 mmHg at the onset of neovascular glaucoma, and in two of 11 eyes (18%) with IOP below 20 mmHg. The difference was significant (p < 0.05). CONCLUSIONS: Eyes with high IOP at the onset of neovascular glaucoma result in a better visual outcome than normotensive ones. Treatment should be started immediately after the detection of neovasular glaucoma, regardless of the level of IOP. LA: Japanese
Dr. K. Moriguchi, Department of Pathology II, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi-shi, 570-8506, 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)
