Neovascular Glaucoma with Diabetic Retinopathy: Trabeculectomy and Nd:YAG Cyclophotocoagulation.

Kim, Chang Ryong; Ma, Yang Rae; Yang, Kun Jin

Original Article

Journal of the Korean Ophthalmological Society 2001;42(11):1581-1587.
Published online November 1, 2001.

Neovascular Glaucoma with Diabetic Retinopathy: Trabeculectomy and Nd:YAG Cyclophotocoagulation.

Chang Ryong Kim, Yang Rae Ma, Kun Jin Yang

Department of Ophthalmology, Chonnam University Medical School, Gwangju, Korea.

당뇨병으로 인한 신생혈관녹내장에서 섬유주절제술과 경공막모양체광응고술

김창룡(Chang Ryong Kim),마양래(Yang Rae Ma),양건진(Kun Jin Yang)

Abstract

PURPOSE
We carried out to determine the effectiveness of trabeculectomy and neodymium:YAG (Nd: YAG) cyclophotocoagulation in eyes with neovascular glaucoma from diabetic retinopathy. METHODS: We retrospectively reviewed medical records of patients who had undergone trabeculectomy or Nd:YAG cyclophotocoagulation from May 1992 to August 1997. RESULTS: The average drop in IOP was 24.6 mmHg in the trabeculectomy group and 17.3 mmHg in the transscleral cyclophotocoagulation group. Success rate was 69.2% in the trabeculectomy group and 21.4% in the transscleral cyclophotocoagulation group. Most common postoperative complication was hyphema (38.4%) in the trabeculectomy group and phthisis bulbi (21.4%) in the transscleral cyclophotocoagulation group. CONCLUSIONS: Trabeculectomy had higher success rate and less serious complications than transscleral cyclophotocoagulation. Transcleral cyclophotocoagulation may be considered as a treatment of neovascular glaucoma in the patients who have severe pain or poor general condition.

Key Words: Cyclophotocoagulation;Neovascular glaucoma;Trabeculectomy