Treatment of diabetic neovascular glaucoma by panretinal ablation and trabeculectomy
1988; Wiley; Volume: 66; Issue: 6 Linguagem: Inglês
10.1111/j.1755-3768.1988.tb04049.x
ISSN1755-3768
AutoresJosé Ignacio Fernández‐Vigo, Josefa Castro Balsa, M. Cordido, J. Fernández‐Sabugal,
Tópico(s)Retinal and Macular Surgery
ResumoAbstract. The efficacy of treating diabetic neovascular glaucoma by panretinal cryotherapy and trabeculectomy was studied over post‐operative periods of 6–24 months in 26 selected eyes (8 acute cases and 18 chronic cases). The only complications attributable to surgery were slight hyphemas. Mean pre‐operative intraocular pressure (IOP) among the acute cases was 48.8 ± 9.9 mmHg. After 1 year, IOP was under control (IOP ≤ 22 mmHg) in 6 eyes (75%) (2 patients needed hypotensive drugs and another required surgery again). Among the chronic cases, pre‐operative IOP was 30.1 ± 2.1, while a year after surgery IOP was under control (IOP ≤ 22 mmHg) in 14 patients (77%) (5 of these needed hypotensive medication and 2 a second operation). The visual acuity (VA) of 66% of the chronic cases was unaltered a year after surgery. The VA of 63% of the acute cases was better a year after surgery. The VA of the 8 patients re‐examined 2 years after surgery had deteriorated in spite of their IOP being under control.
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