Clinical effects of anti-VEGF combined with Ahmed valve implantation and phacoemulsification or not for neovascular glaucoma with cataract

Abstract

AIM:To compare the efficacy of anti-VEGF combined with Ahmed valve implantation with phacoemulsification or not for neovascular glaucoma(NVG)with cataract. METHODS: Totally 47 patients(47 eyes)of NVG with cataract were given intraocular injection of anti-VEGF before the surgery, and then treated with Ahmed valve implantation. 19 cases(19 eyes)combined with phacoemulsification, and single Ahmed valve implantation in 28 cases(28 eyes). The vision, IOP, anti-glaucoma medicines and complications of the two groups were recorded and compared with 6mo postoperatively. RESULTS:The IOP of all cases at all time points after surgery was significantly decreased after surgery(P CONCLUSION: Compare with anti-VEGF with Ahmed vlave implantation, combined with phacoemulsification can effectively control the postoperative IOP, improve the BCVA of the patient as much as possible, reduce the amount of the postoperative glaucoma medicament use, and facilitate the follow-up of the fundus of the patient. It is a efficacy treatment for NVG with cataract.

Keywords

• anti-VEGF
• neovascular glaucoma
• phacoemulsification
• Ahmed valve
• intraocular pressure