Abstract:AIM:To evaluate the effect of the treatment of neovascular glaucoma(NVG)by anterior retina condensation in combination with pars plana vitrectomy.METHODS:Tirty-one cases 31 eyes with diagnosed NVG were treated by anterior retina condensation in combination with pars plana vitrectomy,and whole-retina photocoagulation was applied as well.RESULTS:Preoperative intraocular pressure(IOP)was 41.1±6.2mmHg,after 3-25 months’ follow-up(average 9.8 months),the average of IOP was 22.6±6.9mmHg.There was statistical difference between IOP before and after operation.25 eyes IOP was controlled to be normal(19.8±2.4mmHg);3 eyes needed topical anti-glaucoma drops,and 2 eyes were carried out glaucoma valve implantation.1 eye was applied evisceration because of no light perception and eye-pain after operation.20 cases got a better visual acuity,5 cases remained the same level,5 cases decreased,and 1 case became no light perception.Neovascular on the surface of iris almost or completely disappeared in 30 cases,maintaining corneal transparency and non hematocele anterior chamber.Most follow-up cases eye-pain disappeared or obviously reliever.CONCLUSION:Treatment of anterior retina condensation in combination with pars plana virrectomy is effective in neovascular glaucoma.It can lead to better visual acuity,disappearance of iris neovessels,and decrease of IOP.
