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Japanese

Visual outcome of diabetic retinopathy with neovascular glaucoma Kaei Moriguchi 1 , Haruhiko Yamada 1 , Emi Kawai 1 , Yoshito Fujiseki 1 , Mitsumasa Wada 1 , Katsuji Kiuchi 1 , Akiko Tsumura 1 , Hiroko Hatano 1 , Miyo Matsumura 1 1Dept of Ophthalmol,Kansai Med Univ pp.1095-1098
Published Date 2003/6/15
DOI https://doi.org/10.11477/mf.1410101307
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Abstract. Purpose:To review patients of diabetic retinopathy with neovascular glaucoma from clinical records in the past 6 years. Cases and Methods:We identified 40 affected eyes of 29 patients after excluding cases with no light perception and already operated cases. The series comprised 32 eyes of 22 males and 8 eyes of 7 females. Their ages ranged from 47 to 74 years,average 58 years. Results:Additional photocoagulation was performed on 32 eyes. Glaucoma surgery was performed on 24 eyes. Final intraocular pressure(IOP)below 20 mmHg was obtained in 34 eyes(85%)with or without medication. Final visual acuity was 0.1 or over in 20 eyes(50%). It was less than 0.01 in 9 eyes(23%). Final visual acuity was 0.1 or over in 18 out of 29 eyes(62%)with IOP over 21 mmHg at the onset of neovascular glaucoma and in 2 out of 11 eyes(18%)with IOP below 20 mmHg. The difference was significant(p<0.05). Conclusion:Eyes with high IOP at the onset of neovascular glaucoma result in better visual outcome than normotensive ones. Treatment ought to be started immediately after detection of neovasular glaucoma regardless of the level of IOP.


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

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