Pars plana vitrectomy combined with pan-retinal photocoagulation, Ahmed glaucoma valve implantation, and/or phacoemulsification for complicated neovascular glaucoma treatment

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dc.authorwosidDoganay, Selim/AAH-6225-2021
dc.authorwosidCankaya, Cem/HTR-3803-2023
dc.contributor.authorDoganay, Derya
dc.contributor.authorDoganay, Selim
dc.contributor.authorCankaya, Cem
dc.date.accessioned2024-08-04T20:54:46Z
dc.date.available2024-08-04T20:54:46Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstract| Purpose: To present long-term results of pars plana vitrectomy combined with pan-retinal endolaser pho-tocoagulation, Ahmed glaucoma valve implantation, and/or phacoemulsification in patients with complicated neovascular glaucoma. Methods: The study comprised 15 eyes from 15 patients with neovascular glaucoma as a complication of diabetic retinopathy and owing to ischemic central retinal vein occlusion. There was a vitreous hemorrhage n all of the patients. Further-more, 8 of the cases showed varying degrees of hyphema. All subjects received an intravitreal injection of bevacizumab three days before surgery. In 12 phakic patients, phacoemulsification, pars plana vitrectomy, and Ahmed glaucoma valve implantation were performed. Pars plana vitrectomy and Ahmed glaucoma valve implantation were performed in 3 pseudophakic patients. Perioperative and postoperative complications, intraocular pressure values, and best-corrected visual acuity scores were also recorded. Results: The mean follow-up was 24.4 +/- 14.56 months. The mean preoperative intraocular pressure was 50.06 +/- 7.6 mmHg. At 1 day, 7 days, and 1-, 3-, 6-, 12-month, and last visit following surgery, the mean intraocular pressure was 11.06 +/- 8.22, 12.66 +/- 7.27, 13.8 +/- 7.73, 18.64 +/- 7.05, 19.28 +/- 4.61, 16.28 +/- 1.68, and 16.92 +/- 2.12 mmHg, respectively (p=0.001 for every follow-up visit). The mean visual acuity on the most recent appointment was 1.18 +/- 0.42 logMar (p=0.001 for each subsequent visit). As postoperative early complications, varying degrees of hyphema and fibrin reactions were recorded. During follow-up, one patient developed phthisis bulbi. In 4 cases, Ahmed glaucoma valve revision surgery was required. Conclusions: In patients with complicated neovascular glaucoma, combined surgical procedures are safe, effective, and preferable both in terms of controlling high intraocular pressure and providing reasonable visual abilities.en_US
dc.identifier.doi10.5935/0004-2749.2021-0187
dc.identifier.issn0004-2749
dc.identifier.issn1678-2925
dc.identifier.issue1en_US
dc.identifier.pmid36169429en_US
dc.identifier.scopus2-s2.0-85174006903en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.5935/0004-2749.2021-0187
dc.identifier.urihttps://hdl.handle.net/11616/101623
dc.identifier.volume87en_US
dc.identifier.wosWOS:001124954300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherConsel Brasil Oftalmologiaen_US
dc.relation.ispartofArquivos Brasileiros De Oftalmologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGlaucomaen_US
dc.subjectneovascular/complicationsen_US
dc.subjectVitrectomyen_US
dc.subjectGlaucoma drainage implantsen_US
dc.subjectPhacoemulsificationen_US
dc.titlePars plana vitrectomy combined with pan-retinal photocoagulation, Ahmed glaucoma valve implantation, and/or phacoemulsification for complicated neovascular glaucoma treatmenten_US
dc.typeArticleen_US

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