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Neovascular glaucoma following pars plana vitrectomy for complications of diabetic retinopathy.
Ophthalmic Surg. 1990 Feb; 21(2):113-8.OS

Abstract

The patient charts of 81 consecutive vitrectomies performed for complications of proliferative diabetic retinopathy were reviewed. Sixty-five preoperative, intraoperative, and postoperative variables were analyzed. In eyes with completed panretinal photocoagulation, only postoperative retinal detachment had a statistically significant correlation with postvitrectomy development of neovascular glaucoma. Eighty-three percent of eyes with detached retinas, as compared with 4% of eyes with attached retinas, developed neovascular glaucoma (P less than .00001). Aphakia alone did not have a statistically significant effect on the development of neovascular glaucoma; however in the presence of retinal detachment the incidence was very high (92%). Our study shows that a completely attached retina and aggressive panretinal photocoagulation are of paramount importance in decreasing the risk of neovascular glaucoma following vitrectomy for complications of proliferative diabetic retinopathy.

Authors+Show Affiliations

Wand M
Department of Ophthalmology, Hartford Hospital, CT.
Madigan JC
No affiliation info available
Gaudio AR
No affiliation info available
Sorokanich S
No affiliation info available

MeSH

AdultAgedCataract ExtractionChi-Square DistributionDiabetic RetinopathyFemaleFollow-Up StudiesGlaucoma, NeovascularHumansLight CoagulationMaleMiddle AgedRetinal DetachmentRisk FactorsVisual AcuityVitrectomy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2330190

Citation

Wand, M, et al. "Neovascular Glaucoma Following Pars Plana Vitrectomy for Complications of Diabetic Retinopathy." Ophthalmic Surgery, vol. 21, no. 2, 1990, pp. 113-8.
Wand M, Madigan JC, Gaudio AR, et al. Neovascular glaucoma following pars plana vitrectomy for complications of diabetic retinopathy. Ophthalmic Surg. 1990;21(2):113-8.
Wand, M., Madigan, J. C., Gaudio, A. R., & Sorokanich, S. (1990). Neovascular glaucoma following pars plana vitrectomy for complications of diabetic retinopathy. Ophthalmic Surgery, 21(2), 113-8.
Wand M, et al. Neovascular Glaucoma Following Pars Plana Vitrectomy for Complications of Diabetic Retinopathy. Ophthalmic Surg. 1990;21(2):113-8. PubMed PMID: 2330190.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neovascular glaucoma following pars plana vitrectomy for complications of diabetic retinopathy. AU - Wand,M, AU - Madigan,J C, AU - Gaudio,A R, AU - Sorokanich,S, PY - 1990/2/1/pubmed PY - 1990/2/1/medline PY - 1990/2/1/entrez SP - 113 EP - 8 JF - Ophthalmic surgery JO - Ophthalmic Surg VL - 21 IS - 2 N2 - The patient charts of 81 consecutive vitrectomies performed for complications of proliferative diabetic retinopathy were reviewed. Sixty-five preoperative, intraoperative, and postoperative variables were analyzed. In eyes with completed panretinal photocoagulation, only postoperative retinal detachment had a statistically significant correlation with postvitrectomy development of neovascular glaucoma. Eighty-three percent of eyes with detached retinas, as compared with 4% of eyes with attached retinas, developed neovascular glaucoma (P less than .00001). Aphakia alone did not have a statistically significant effect on the development of neovascular glaucoma; however in the presence of retinal detachment the incidence was very high (92%). Our study shows that a completely attached retina and aggressive panretinal photocoagulation are of paramount importance in decreasing the risk of neovascular glaucoma following vitrectomy for complications of proliferative diabetic retinopathy. SN - 0022-023X UR - https://www.unboundmedicine.com/medline/citation/2330190/Neovascular_glaucoma_following_pars_plana_vitrectomy_for_complications_of_diabetic_retinopathy_ DB - PRIME DP - Unbound Medicine ER -