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Outcome five years after surgery for neovascular glaucoma secondary to proliferative diabetic retinopathy Toshihiro Kono 1 , Yoshiko Takesue 1 , Sousuke Shiga 1 1Dept of Ophthalmol,Fukuoka Univ Chikushi Hosp pp.181-185
Published Date 2004/2/15
DOI https://doi.org/10.11477/mf.1410101036
  • Abstract
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 We surgically treated 10 eyes of 7 patients with neovascular glaucoma secondary to proliferative diabetic retinopathy. Their ages at the time of surgery ranged from 44 to 63 years,average 51 years. As the standard procedure,each eye received pars plana lensectomy and vitrectomy. Reattachment of the retina was induced by excision of vitreous and proliferative membrane. Panretinal photocoagulation was performed up to the ora serrata. Rubeosis iridis disappeared in all the eyes after surgery. Visual acuity before surgery was no light perception 2 eyes,light perception 2 eyes,0.2 one eye and 0.5 or over 5 eyes. Visual acuity 5 years after surgery was no light perception 3 eyes,light perception one eye,0.1 one eye and 0.5 or over 7 eyes. There was no instance of marked decrease in visual acuity after surgery. Intraocular pressure 5 years after surgery was over 40mmHg 2 eyes,hypotonic 1 eye,and was within normal range 7 eyes. The findings show that visual acuity can be maintained for 5 years when surgery induces resolution of neovascular glaucoma.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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