Combined Trabeculectomy with Mitomycinc, Pars Plana Vitrectomy with Panretinal Photocoagulation, and Intravitreal and Intracameral Bevacizumab for Neovascular Glaucoma

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.