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Panretinal cryotherapy in neovascular disease
1Oxford Eye Hospital.
The British Journal of Ophthalmology
|June 1, 1988
Summary
Panretinal cryotherapy effectively treated rubeosis and proliferative diabetic retinopathy. This treatment preserved vision and normalized eye pressure in most cases, offering an alternative to laser therapy.
Area of Science:
- Ophthalmology
- Retinal diseases
- Diabetic retinopathy
Background:
- Neovascular glaucoma and proliferative diabetic retinopathy are advanced stages of retinal vascular disease.
- Panretinal cryotherapy (PRC) is a treatment modality for extensive retinal disease.
Observation:
- Fifteen eyes with rubeosis, including nine with neovascular glaucoma and seven with proliferative diabetic retinopathy, were treated with PRC.
- Treatment outcomes were assessed based on rubeosis regression, vision preservation, and intraocular pressure normalization.
Findings:
- PRC led to regression of rubeosis in all but one eye, with vision preservation and normalization of intraocular pressure.
- New vessel regression was observed in most eyes with proliferative retinopathy following PRC treatment.
Implications:
- Panretinal cryotherapy demonstrates efficacy as an alternative to retinal photocoagulation for advanced rubeosis and neovascular glaucoma.
- PRC may be a viable treatment option in specific cases of proliferative diabetic retinopathy.