Neovascular glaucoma following pars plana vitrectomy for complications of diabetic retinopathy.
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.
Wand
M
M
Department of Ophthalmology, Hartford Hospital, CT.
Madigan
J C
JC
Gaudio
A R
AR
Sorokanich
S
S
D000328:Adult; D000368:Aged; D002387:Cataract Extraction; D016009:Chi-Square Distribution; D003930:Diabetic Retinopathy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D015355:Glaucoma, Neovascular / Q000209:etiology*; D006801:Humans; D008028:Light Coagulation; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications / Q000209:etiology; D012307:Risk Factors; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*