Outcomes of 23-Gauge Vitrectomy Combined with Phacoemulsification, Panretinal Photocoagulation, and Trabeculectomy without Use of Anti-VEGF Agents for Neovascular Glaucoma with Vitreous Hemorrhage

Figure 1

A 63-year-old woman with a history of diabetes mellitus complicated with renal failure underwent combined surgery for PDR complicated with NVG. The preoperative VA was LP and increased to 0.04 postoperatively, with IOP decreasing from 64 mmHg preoperatively to 19 mmHg at the final follow-up postoperatively. Rubeosis iridis was present in the iris preoperatively and regressed 1 week postoperatively. At the final follow-up postoperatively, rubeosis iridis disappeared in the iris and conjunctiva filtering bleb was flat. (a) Rubeosis iridis (white arrow) was present in the iris preoperatively, and new vessels (white arrow) were seen at the anterior chamber angle by gonioscopy. IOP was 64 mmHg. (b) Rubeosis iridis (white arrow) was still present in the iris 1 day postoperatively, and conjunctiva filtering bleb was formed. IOP was 16 mmHg. (c) Rubeosis iridis (white arrow) was significantly decreased in the iris 2 days postoperatively, and cornea was clear. IOP was 15 mmHg. (d) Rubeosis iridis (white arrow) was not significant in the iris 3 days postoperatively, and conjunctiva filtering bleb was obvious. IOP was 15 mmHg. (e) Rubeosis iridis regressed in the iris 1 week postoperatively, and conjunctiva filtering bleb was stable. IOP was 15 mmHg. (f) Rubeosis iridis disappeared in the iris at the final follow-up postoperatively, and conjunctiva filtering bleb was flat. IOP was 19 mmHg. (g) Intraoperative PRP for treatment of PDR complicated with BRVO in patients with NVG and optic nerve atrophy 1 week postoperatively.

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