Combined Surgery for the Management of Neovascular Glaucoma Combined with Vitreous Hemorrhage

Objective To observe the clinical effect of vitrectomy on neovascular glaucoma combined with vitreous hemorrhage.Methods Eleven patients with neovascular glaucoma combined with vitreous hemorrhage were operated through vitrectomy with trabeculectomy,all patients underwent panretinal photocoagulation and some phacoemulsification.The follow-up was for 8-12 months,and the visual acuity,intraocular pressure,iris neovascular,postoperative complications were observed after operation.Results The mean postoperative intraocular pressure was(15.6±5.3)mmHg,which was significantly lower than preoperative one(45.6±8.7)mmHg(P0.05).Postoperative visual acuity of 9 patients(81.8%) increased or unchanged.Iris neovascular mostly fell back in two weeks after operation,without severe postoperative complications and atrophy of eyeball at the final visit.Conclusion Combined vitrectomy and trabeculectomy may be one of the effective and feasible precedure for neovascular glaucoma combined with vitreous hemorrhage.