Combined Trabeculectomy with Mitomycinc, Pars Plana Vitrectomy with Panretinal Photocoagulation, and Intravitreal and Intracameral Bevacizumab for Neovascular Glaucoma
DOI:
https://doi.org/10.17140/OOJ-1-101Keywords:
Neovascular glaucoma; Trabeculectomy; Mitomycin C; Pars plana vitrectomy; Endolaser photocoagulation; Intravitreal bevacizumab; Intracameral bevacizumab.Abstract
Purpose: To report the effectiveness of combined surgery for neovascular glaucoma.
Methods: Six eyes of six consecutive patients with neovascular glaucoma underwent the combined surgery: trabeculectomy with Mitomycin C, Pars Plana Vitrectomy (PPV), endolaserpanretinal photocoagulation, intravitreal and intracameral injection of bevacizumab.
Results: The intraocular pressure returned to normal range soon after operation. The neovascularization of iris regressed in a few days. Mild hyphema developed in three patients. All six
patients had improved or stable visual acuity, and achieved normal intraocular pressure without
antiglaucoma medications three months after operation.
Conclusions: This combined surgery may break the vicious cycle of neovascularglaucoma and
preserve useful vision in these patients.
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