Clinical observation on the treatment of neovascular glaucoma with intravitreal Ranibizumab injection combined with vitrectomy, panretinal photocoagulation and trabeculectomy
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Neovascular glaucoma
Panretinal photocoagulation
Panretinal photocoagulation
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We report a retrospective evaluation of the role of panretinal photocoagulation in the primary treatment of neovascular glaucoma. Thirty-six eyes (32 patients) received aggressive argon laser panretinal photocoagulation beginning as soon as feasible after diagnosis of the developing neovascular glaucoma. Thirty eyes were stabilized by photocoagulation, though 25 required long-term glaucoma medications. Six eyes required additional procedures. Vision deteriorated in 21 of the 36 eyes (nine eyes finally having "no light perception") during the 32.8-month follow-up. Intraocular pressure averaged 39.0 mm Hg before photocoagulation and 21.2 mm Hg at study's end. All 36 eyes were retained and remain comfortable. We conclude that panretinal photocoagulation plays an important role in the management of neovascular glaucoma.
Panretinal photocoagulation
Neovascular glaucoma
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Objective To evaluate the effectiveness of panretinal photocoagulation combined with Ahmed glaucoma valve implantatiom for the treatment of neovascular glaucoma.Methods An retrospective study was undertaken to describe the panretinal photocoagulation of 36 cases of neovascular glaucoma following the Ahmed glaucoma valve implantatiom.Results After surgery,the follow-up periods lasted for 8 to 12 months,the intraocular pressure was controled in 31 (86.11%)eyes,the iris neovascularigate disappeared in 30(83.33%) patiens.The postoperative complication included hyphema,early hypotony,obstruction of the tube tip.Conclusion Panretinal photocoagulation combined with Ahmed glaucoma valve implantatiom for the treatment of neovascular glaucoma is an effective and safe mothod.
Neovascular glaucoma
Panretinal photocoagulation
Glaucoma valve
Hyphema
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Protocol S of the Diabetic Retinopathy Clinical Research Network (clinicaltrials.govNCT01489189) compares intravitreous ranibizumab vs panretinal photocoagulation (
Panretinal photocoagulation
Interim
Laser coagulation
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Objective To evaluate the clinical results of trabeculectomy combined with interferon-alpha 2b (IFN α-2b)for neovascular glaucoma.Methods 21 cases with neovascular glaucoma were treated by subscleral flap trabeculectomy and IFN α-2b subconjunctival injection every other day after operation.Results All patients were followed up 1-2 years,the postoperative intraocular pressures were all less than 21 mmHg in 21 cases,effective filtering blebs formations existed in 19 cases,no regenerative neovascular vessel remained in irises and angles.Conclusion Trabeculectomy combined with IFN α-2b is an effective treatment for neovascular glaucoma.
Neovascular glaucoma
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Neovascular glaucoma
Mitomycin C
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Panretinal photocoagulation
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Objetive To evaluate the clinical effect of minimally invasive trabeculectomy combined with Microphakonit for neovascular glaucoma. Methods Sixteen eyes of neovasvular glaucoma were operated with minimally invasive trabeculectomy combined with Microphakonit from December 2007 to January 2009.Intraocular pressure, visual acurity ,anterior chamber and filtering bleb were observed. Results Intraocular pressure was lowed below 21mmHg in all the operated eyes with 6-12 month follow-up. Conclusions Minimally invasive trabeculectomy combined with Microphakonit are effective methods for neovascular glaucoma.
Neovascular glaucoma
Bleb (medicine)
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Objective To increase efficacy of trabeculectomy.Methods 16 cases of neovascular glaucoma were treated by improved trabeculectomy combined with making medicines in the operation,diathermy on the water,suture Dismantled and so on.Results The intraocular pressure was below 2.75±0.73Kpa in 15 cases(94%)treated with this method.Of 16 cases one was 4.65Kpa,it need make medicines to keep the intraocular pressure.Conclusions Improved trabeculectomy is safe and effective in the management of neovascular glaucoma.
Neovascular glaucoma
Diathermy
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Panretinal photocoagulation
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