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Endophotocoagulation during vitrectomy as prophylaxis for postoperative neovascular glaucoma in proliferative diabetic retinopathy

, : Endophotocoagulation during vitrectomy as prophylaxis for postoperative neovascular glaucoma in proliferative diabetic retinopathy. Rinsho Ganka 43(5): 857-859

We evaluated the value of panretinal endophotocoagulation during closed vitrectomy in preventing postoperative neovascular glaucoma. A series of 69 eyes, 60 cases, of diabetic retinopathy underwent closed vitrectomy. These eyes had not been treated by photocoagulation of any significance prior to surgery. Panretinal endophotocoagulation was applied to 16 eyes in the series during vitrectomy. The remaining 53 eyes were treated by conventional panretinal photocoagulation after vitrectomy. All the cases were followed up for 3 months or more after surgery. No instance of neovascular glaucoma developed among the 16 eyes treated by endophotocoagulation. Neovascular glaucoma developed in 5 eyes in the 53 eyes. Of these 5 eyes, 2 were phakic and 3 aphakic. Massive fibrinous response immediately after vitrectomy developed in 4 eyes (25%) treated by endophotocoagulation and in 26 eyes (49%) treated otherwise. The findings indicate that panretinal endophotocoagulation during vitrectomy is more effective in preventing neovascular glaucoma than conventional pancretinal photocoagulation after surgery.


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