Compared Analysis Of The Efficacy Of Neovascular Glaucoma Different Treatment Methods

AIM:To compare the efficacy of three different treatment methods of neovascularglaucoma (NVG).METHODS:51NVG patients (54eyes)were retrospectively observed andanalyzed, according to the different surgical treatment the patients were divided intothree groups. Group A,27patients (28eyes)were treated with simplecyclophotocoagulation; Group B,14patients (14eyes) with trabeculectomy andintraoperative mitomycin C (MMC) application1week after Avastin intravitrealinjection; Group C,10patients (12eyes) with vitrectomy and drainage valveimplantation1week after Avastin intravitreal injection.In the treatment of both groups,Group B and C were completed the whole course of panretinal photocoagulation (PRP)as early as possible.RESULTS:The mean intraocular pressure in patients discharged fromhospital:group A,25.75±1.44mmHg, surgical success rate was21.4%;Group B was12.86±1.37mmHg, surgical success rate was85.7%;Group C was16.58±1.85mmHg,surgical success rate was83.3%.CONCLUSION:The three methods can all reduce IOP on different levels.Butintraocular pressure in most patients within a week after cyclophotocoagulation is not inthe normal range,Therefore, visualizable eye should not choose a simplecyclophotocoagulation.Anti-vascular endothelial growth factor (VEGF) drugs combined withanti-glaucoma surgery can effectively control the intraocular pressure within a week.For thepreservation of visual function in patients,it was better than cyclophotocoa gulation.