Pars plana vitrectomy with endolaser cyclophotocoagulation for refractory glaucoma in eleven eyes

Nana Takahashi, Yu Yokoyama, Hiroshi Kunikata, Koji Nishiguchi, Fumihiko Nitta, Takayuki Takeshita, Toru Nakazawa

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report 11 eyes of refractory glaucoma treated by pars plana vitrectomy and endolaser cyclophotocoagulation. Cases and Method: This study was made on 11 eyes of 11 cases including 10 eyes with neovascular glaucoma and one eye with postoperative glaucoma. Intraocular pressure (IOP) averaged 48.2 ± 16.5 mmHg. All the 11 eyes received microincision vitrectomy as the initial treatment, followed by endolaser cyclophotocoagulation of pars plana and pars plicata in 6 eyes, and of pars plana only in 5 eyes. Results: IOP averaged 15.7 ±6.3 mmHg, 15.5 ±7.0 mmHg, and 16.1 ±6.3 mmHg respectively after one month, 3 months, and 6 months of treatment. The differences were significant when compared with IOP before treatment (p<0.01). There was no difference in IOP whether cyclophotocoagulation was also applied to the pars plicata or not (p = 0.42, paired t-test). Conclusion: Pars plana vitrectomy and endolaser cyclophotocoagulation resulted in well-controlled IOP.

Original languageEnglish
Pages (from-to)1451-1458
Number of pages8
JournalJapanese Journal of Clinical Ophthalmology
Volume72
Issue number10
Publication statusPublished - 2018 Oct

ASJC Scopus subject areas

  • Ophthalmology

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