The treatment of glaucoma in uremia patients

Objective To investigate the treatment of ghucoma in uremia patients.Methods 20 patients(23 eyes)hospitalized continuously in the first affiliated hospital of Sun Yat-sen University from January in 1997 to September in 2007 were investigated retrospectively,based on their medical history,visual activity,intraocular pressure,ocular manifestation,diagnosis,treatment and the therapeutic effect.Results14 patients(15 eyes) (14/20,70.0%)were neovascular glaucoma(NVG).14 eyes showed visual loss and 1 eye was light perception.6 patients who cannot be tolerant to the surgery for their poor condition were given with pressure-lowering agents which can control the ocular symptom of 5 patients temporarily and failed to I patient.3 patients failed with medication and coagulation by laser or cryoab|ation of ciliary body and enucleation was performed finally.Cyelocryotherapy and medication can control the symptom of 2 patients.2 patients of corneal and seleral staphyloma and 1 patient of spontaneous eyeball rupture were performed to enucleation.2 eyes of 1 patient were implanted with aqueous drainage devices and cannot control intraoeular pressure well.The bulhar conjunctiva of 3 patients was edema dramatically in all 6 patients of enueleation.The 10P of 4 patients(5 eyes)with acute angleclose glaucoma and 2 patients(3 eyes)with corticosteroid glaucoma was controlled well by glaucoma surgery or medication.ConclusionNVG is the most common type of uremia associated with glaucoma and is difficult to manage. Key words: Uremia; Glaucoma ; Treatment