2018•Yanwaishang zhiye yanbing zazhiRequires access
New ideas for the treatment of neovascular glaucoma
Ruiling Zhao, Feng Gao, Douhong Liu
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Abstract
Objective
To observe the efficacy of intravitreal injection of Lucentis, excessive pressure regulation system (EX-press)implantation and panretinal photocoagulation for neovascular glaucoma(NVG).
Methods
The data of 38 eyes of 38 cases with NVG from Jan.2015 to May 2016 were analyzed retrospectively. Intravitreal injection of Lucentis was performed for all cases at first. EX-press implantation was performed 3-5 days after new vessels of iris disappeared. All cases received panretinal photocoagulation under indirect ophthalmoscope 5-7 days after EX-press implantation. The BCVA and IOP were observed and recorded.
Results
After 1 year of follow-up, IOP within 10-15 mmHg was in 9 cases and within 16-21 mmHg was in 29 cases (1 mmHg=0.133 kPa). Among 29 cases, 4 cases combined with Carteolol hydrochloride eye drops.
Conclusion
Intravitreal injection of Lucentis, EX-press implantation, combined with panretinal photocoagulation is a safe and effective method for NVG.
Key words:
Glaucoma, neovascular; Implantaion, Ex-press; Photocoagulation, panretinal