CASE SERIES OF NEOVASCULAR GLAUCOMA:EARLY LIMITEDTRANS-SCLERAL CYTOPHOTOCOAGULATIONS (TSCPC) AS AN OPTIONS FOR PREPARATION OF FILTERING SURGERY IN NVG PATIENTS CAN SAVE PATIENT’S VISIONS

Abstract

Neovascular Glaucoma (NVG) is a severe form of secondary glaucoma characterized by proliferation of fibrovascular tissue in the anterior chamber angle. Clinically rubeosis iridis was seen at the pupillary margin and angle via gonioscopy.NVG results in guarded visual prognosis in view of aggressive clinical course and the difficulty in controlling the intraocular pressure(IOP).Patient treatment is indivdualized by taking into account patient visual prognosis, severity, level ofIOP, the cause of NVG, financial issues and patient’s expectations. Trans-scleral cytophotocoagulations is one of the modalities available to reduce the intraocular pressure, usually reserved for the poor prognosis eye in view of its destructive nature . TSCPC in a good prognosis eye is always used in cautions.In this case series, we present 3 case of NVG whichwe use the early limited TSCPC to reduce the IOP to buy time for other managementsin which patient have good visual outcome.