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Rubeosis iridis and neovascular glaucoma: II. Our own experiences with the treatment by cryocoagulation.

Abstract

The author evaluates the effect of two cryosurgical methods on the development of rubeosis iridis in neovascular glaucoma. In 12 eyes, cyclo-cryocoagulation was used as a single method, in 26 eyes, trans-scleral panretinal cryocoagulation was used in combination with cyclo-cryocoagulation in one session. Markedly better results were achieved by using the combined cryosurgical method. When trans-scleral panretinal cryocoagulation was applied in combination with cyclo-cryocoagulation, all the patients showed, 6 weeks postoperatively, a marked involution of rubeosis iridis. Complete regression of rubeosis iridis after cyclo-cryocoagulation was achieved only in one eye. The insufficient regression of rubeosis iridis in neovascular glaucoma, after the performance of single cyclo-cryocoagulation, the author explains in that way that by this surgical method only one component in the pathogenesis of rubeosis iridis is resolved. The author assumes that in the pathogenesis of rubeosis iridis in neovascular glaucoma, two components play their role: not only the underlying disease which conditions the development of proliferative retinopathy but also the high intraocular pressure which reduces the blood-flow in the retinal bed and thus increases retinal hypoxia.

Authors+Show Affiliations

Department of Ophthalmology, Medical Faculty, Palacký University, Olomouc, Czechoslovakia.

Pub Type(s)

Clinical Trial
Comparative Study
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

1364952

Citation

Rehák, J. "Rubeosis Iridis and Neovascular Glaucoma: II. Our Own Experiences With the Treatment By Cryocoagulation." Acta Universitatis Palackianae Olomucensis Facultatis Medicae, vol. 134, 1992, pp. 105-8.
Rehák J. Rubeosis iridis and neovascular glaucoma: II. Our own experiences with the treatment by cryocoagulation. Acta Univ Palacki Olomuc Fac Med. 1992;134:105-8.
Rehák, J. (1992). Rubeosis iridis and neovascular glaucoma: II. Our own experiences with the treatment by cryocoagulation. Acta Universitatis Palackianae Olomucensis Facultatis Medicae, 134, 105-8.
Rehák J. Rubeosis Iridis and Neovascular Glaucoma: II. Our Own Experiences With the Treatment By Cryocoagulation. Acta Univ Palacki Olomuc Fac Med. 1992;134:105-8. PubMed PMID: 1364952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rubeosis iridis and neovascular glaucoma: II. Our own experiences with the treatment by cryocoagulation. A1 - Rehák,J, PY - 1992/1/1/pubmed PY - 1992/1/1/medline PY - 1992/1/1/entrez SP - 105 EP - 8 JF - Acta Universitatis Palackianae Olomucensis Facultatis Medicae JO - Acta Univ Palacki Olomuc Fac Med VL - 134 N2 - The author evaluates the effect of two cryosurgical methods on the development of rubeosis iridis in neovascular glaucoma. In 12 eyes, cyclo-cryocoagulation was used as a single method, in 26 eyes, trans-scleral panretinal cryocoagulation was used in combination with cyclo-cryocoagulation in one session. Markedly better results were achieved by using the combined cryosurgical method. When trans-scleral panretinal cryocoagulation was applied in combination with cyclo-cryocoagulation, all the patients showed, 6 weeks postoperatively, a marked involution of rubeosis iridis. Complete regression of rubeosis iridis after cyclo-cryocoagulation was achieved only in one eye. The insufficient regression of rubeosis iridis in neovascular glaucoma, after the performance of single cyclo-cryocoagulation, the author explains in that way that by this surgical method only one component in the pathogenesis of rubeosis iridis is resolved. The author assumes that in the pathogenesis of rubeosis iridis in neovascular glaucoma, two components play their role: not only the underlying disease which conditions the development of proliferative retinopathy but also the high intraocular pressure which reduces the blood-flow in the retinal bed and thus increases retinal hypoxia. SN - 0301-2514 UR - https://www.unboundmedicine.com/medline/citation/1364952/Rubeosis_iridis_and_neovascular_glaucoma:_II__Our_own_experiences_with_the_treatment_by_cryocoagulation_ DB - PRIME DP - Unbound Medicine ER -
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