Filtering valve implant for neovascular glaucoma in proliferative diabetic retinopathy.
The prevention and treatment of neovascular glaucoma in diabetic patients presents a difficult clinical challenge. This report presents the pathologic findings in a juvenile onset diabetic patient who underwent panretinal photocoagulation. She subsequently developed neovascular glaucoma, was treated with the the Krupin-Denver valve implant, and received cyclocryotherapy after the filtering surgery failed to maintain a normal intraocular pressure. The pathologic findings resulting from each treatment modality are presented with emphasis on the failed intraocular valve. A fibrous ingrowth surrounded the valve, and a foreign body granulomatous response was present.
D000328:Adult; D003452:Cryosurgery / Q000379:methods; D003930:Diabetic Retinopathy / Q000150:complications* / Q000503:physiopathology; D004868:Equipment Failure; D005123:Eye / Q000473:pathology*; D005260:Female; D005374:Filtration; D005901:Glaucoma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D053685:Laser Therapy; D007834:Lasers / Q000009:adverse effects; D009389:Neovascularization, Pathologic; D013999:Timolol / Q000627:therapeutic use
D013999:Timolol