First Author: S.Abdul-Kader LIBYAN ARAB JAMAHIRIYA
Co Author(s): N. Bishti
Purpose:
To evaluate the success rate of the treatment protocol followed.
Setting:
Prospective study done on 93 eyes of 68 patients with neovascular Glaucoma
Methods:
Prospective study done on 93 eyes of 68 patients with neovascular Glaucoma with reasonable visual function reserve selected randomly from Glaucoma clinic. All patients underwent assessment of IOP, BCVA, CCT, Fluorescein anggiography, VF, OCT -NFL analysis. Management protocol: medical treatment, intravitreal avastin, PRP, surgical procedure chosen (Trab + mmc, Valve, Diode Laser CPA) using peribulbar anesthesia follow up ranged from 18 - 37months.
Results:
Successful outcome gained when Target IOP was achieved with or without medical therapy at the last 2 follow up visits 46% female 54% Male patients 34% due to Diabetic retinopathy, 66% duo to ischemic retinal (cental or branch ) vein occlusion 19% did not require surgical intervention (Rubiosis disappeared, IOP returned back to normal, Angle is open) Trabeculectomy with MMC done in 29 % of Eyes Ahmed Valve used in 20%, Diode laser in 12%, repeated surgical procedure Trab+mmc then Valvein 8%,Trab+mmc then diode laser in 12%. On follow up repeated intravitreal Avastin done in 42%, 28%patients required antiglaucoma medical treatment 23% had their cataract managed as combined surgery or latter
Conclusions:
Successful outcome gained when Target IOP was achieved and maintained with or without medical therapy until the last follow up visit . Successful Results can be achieved Sometimes with difficulty and repeated procedures. Failure and elevation of IOP can take place after initial successful management even after many years. So... proper decision in the proper time doing and repeating proper procedures and long life follow up to preserve patient's visual function reserve is mandatory. FINANCIAL DISCLOSURE?: No
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