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Abstract #8107 Published in IGR 4-3
Risk factors of neovascular glaucoma following vitreous surgery for proliferative diabetic retinopathy
Ohki R; Tochitani Y; Takita H; Noyori S; Yoneya SJapanese Journal of Clinical Ophthalmology 2002; 56: 973-977
The authors reviewed the systemic and topical factors in cases of proliferative diabetic retinopathy that had resulted in blindness due to neovascular glaucoma after primary vitreous surgery. The series comprised 11 eyes of ten cases treated by them during the previous six years. Cases of retinal detachment were excluded. Another series of randomly selected 70 eyes of 60 similarly operated cases without neovascular glaucoma served as a control. The ages averaged 42.5 PLM> 14.2 years in the ten cases and 55.4 ± 11.7 years in the controls. The ten cases with poor outcome had following significant risk factors: relatively younger age, poor blood sugar control, impaired renal function, and hypo-albuminemia. They also had the following topical factors: exudative retinopathy, poor response to photocoagulation, and intraoperative silicone oil. Each case in the series had more than four of the above factors. These findings show that patients with these risk factors need particular attention in the timing and method of vitreous surgery. LA: Japanese
R. Ohki, MD, Department of Ophthalmology, Saitama Medical School, 38 Morohongo Moroyama-machi, Iruma-gun, Saitama-ken 350-0495, Japan
Classification:
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)