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OphthalmologyMarch 198222 citations

Filtering valve implant for neovascular glaucoma in proliferative diabetic retinopathy.

Folberg R, Hargett N A, Weaver J E, McLean I W


AI Summary

This case study of failed glaucoma valve in diabetic NVG found fibrous ingrowth and foreign body granuloma around the implant, highlighting challenges in device efficacy.

Abstract

The prevention and treatment of neovascular glaucoma in diabetic patients presents a difficult clinical challenge. This report presents the pathologic findings in a juvenile onset diabetic patient who underwent panretinal photocoagulation. She subsequently developed neovascular glaucoma, was treated with the the Krupin-Denver valve implant, and received cyclocryotherapy after the filtering surgery failed to maintain a normal intraocular pressure. The pathologic findings resulting from each treatment modality are presented with emphasis on the failed intraocular valve. A fibrous ingrowth surrounded the valve, and a foreign body granulomatous response was present.


MeSH Terms

AdultCryosurgeryDiabetic RetinopathyEquipment FailureEyeFemaleFiltrationGlaucomaHumansIntraocular PressureLaser TherapyLasersNeovascularization, PathologicTimolol

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