| Neovascular Glaucoma: Diode Laser Trans-Scleral Cyclophotocoaculation Versus Ahmed Glaucoma Valve Implant. |
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Seong Hee Min, Yun Seok Chung, Hwang Ki Kim, Yong Ho Sohn |
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Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. yhsohn@konyang.ac.kr |
| 신생혈관 녹내장에서 경공막 다이오드레이저 모양체광응고술과 아메드 녹내장밸브 삽입술의 비교 |
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민성희,정윤석,김황기,손용호 |
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Myung-Gok Eye Research Institute Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Seoul, Korea |
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Correspondence:
Seong-Hee Min, M.D. |
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| Abstract |
PURPOSE
To retrospectively study the clinical outcomes of diode laser trans-scleral cyclophotocoagulation and Ahmed glaucoma valve implant in eyes with neovascular glaucoma. METHODS: We reviewed the medical records of patients who had undergone diode laser trans-scleral cyclophotocoagulation (group 1) and Ahmed glaucoma valve implant (group 2) with a follow-up period of 6 months or longer. The treatments were carried out to control high intraocular pressure (IOP) and ocular pain in the patients with visual acuity less than hand motions. RESULTS: Group 2 had a significantly lower IOP during the first postoperative month. The cumulative probability of success was higher in group 2 than group 1 throughout the follow-up period. The postoperative complications in most cases were transient and improved with conservative management in both groups. However, 3 cases in group 1 required evisceration secondary to phthisis. Subjective relief of ocular pain was higher in group 2. CONCLUSIONS: The Ahmed glaucoma valve implant group showed a higher success rate and fewer serious complications than the diode laser trans-scleral cyclophotocoagulation group in patients with high IOP and ocular pain with poor visual acuity. Diode laser trans-scleral cyclophotocoagulation may be considered in patients with poor general health. |
| Key Words:
Ahmed glaucoma valve implant;Cyclophotocoagulation;Neovascular glaucoma |
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