J Korean Ophthalmol Soc > Volume 56(8); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(8):1229-1235.
DOI: https://doi.org/10.3341/jkos.2015.56.8.1229    Published online August 15, 2015.
Prognostic Factors for Neovascular Glaucoma after Vitrectomy in Eyes with Proliferative Diabetic Retinopathy.
Myeong In Yeom, Nam Eok Kim, Soo Jung Lee, Jung Min Park
1Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. pjm1438@hanmail.net
2Cheonan Kim's Eye Clinic, Cheonan, Korea.
3Department of Ophthalmology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
증식성 당뇨망막병증의 유리체절제술 후 신생혈관녹내장 발생의 예측 인자: 양안 비교 연구
염명인1⋅김남억2⋅이수정3⋅박정민1
메리놀병원 안과1, 천안 김안과2, 인제대학교 의과대학 인제대학교 해운대백병원 안과학교실3
Received: 29 January 2015   • Revised: 9 March 2015   • Accepted: 4 June 2015
Abstract
PURPOSE
To investigate the prognostic factors for neovascular glaucoma after vitrectomy in eyes with proliferative diabetic retinopathy. METHODS: In the present study we retrospectively reviewed intraindividual and interocular differences in 14 patients (28 eyes) who underwent pars plana vitrectomy for proliferative retinopathy with vitreous hemorrhage and having only 1 eye neovascular glaucoma. The patients underwent vitrectomy between March 2008 and July 2014 at Maryknoll Hospital. The patient clinical data on preoperative, intraoperative and postoperative factors were compared. Statistical analysis was performed using the Wilcoxon matched-pairs signed-rank (Mann-Whitney) test and chi-square test to evaluate the significance of differences within the patient groups. RESULTS: The decrease of photopic b-wave amplitudes on the preoperative electroretinogram significantly correlated with the development of neovascular glaucoma after vitrectomy for proliferative retinopathy with vitreous hemorrhage (p > 0.05). CONCLUSIONS: Based on the results from the present study, decreased photopic b-wave amplitudes on preoperative electroretinogram is an effective prognostic factor for the development of neovascular glaucoma after vitrectomy for proliferative retinopathy with vitreous hemorrhage.
Key Words: Neovascular glaucoma;Proliferative diabetic retinopathy;Vitrectomy


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