Neovascular glaucoma and intraocular pressure: II. Reduction of intraocular pressure--our 5-year experience.

The paper reports the results obtained with reduction of intraocular pressure in 38 eyes of 38 patients with acute neovascular glaucoma. Cyclocryocoagulation alone was made in 12 eyes, 26 eyes were treated by transscleral panretinal cryocoagulation combined with cyclocryocoagulation. In eyes treated by cyclocryocoagulation alone the intraocular pressure less than 26 mmHg was on 5th day after operation in 41.6%, on 10th day in 66.7%. However, this effect was transient in one-third of the patients, and no effect was found in one-third of eyes. In eyes treated by transscleral panretinal cryocoagulation combined with cyclocryocoagulation, the intraocular pressure less than 26 mmHg by 3 days after operation was recorded in 50%, by 10 days in 76.9%. Postoperative hypotension developed in 27%. It is concluded that intraocular pressure in neovascular glaucoma is better managed by transscleral panretinal cryocoagulation with concurrent cyclocryocoagulation than by cyclocryocoagulation alone.