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- W2188886815 abstract "Neovascular glaucoma (NVG) is a potentially blinding clinical condition, where delayed diagnosis or poor management can result in complete loss of vision. In managing NVG, it is essential to treat both the elevated intraocular pressure (IOP) and the underlying cause of disease. The objective of this review is to discuss its etiology, pathophysiology, clinical features and management. First priority in managing NVG should be to try preventing its development by appropriate treatment of the causative diseases. Since NVG is a secondary glaucoma, a thorough knowledge about the varied etiologies and meticulous methods of examination along with high index of suspicion is a must. Blindness caused due to NVG is totally preventable if diagnosis is made in early stages and such patients are aggressively treated along with frequent follow up. Detailed clinical examination including slit lamp evaluation, IOP measurement, gonioscopy, dilated retinal evaluation with 90D and 20D lenses and Fundus Fluorescein Angiography (wherever required) is a must in all cases with identifiable risk factors. In established cases of PDR, pan retinal photocoagulation (PRP) with or without intravitreal anti-VEGF is the procedure of choice to prevent NVG. Mainstay of medical treatment is to reduce aqueous production. In refractory cases requiring surgical intervention, the results have improved significantly with use of antifibrotic agents during trabeculectomy and evolution of tube shunts. The introduction of anti-VEGF agents in the management of NVG has proved to be a benchmark in both prevention and treatment of this disease. Prevention and early diagnosis is the key to reduce visual loss caused by this devastating disease. Though the treatment of NVG still remains a challenge, the advent of anti-fibrotic agents, tube shunts and anti-VEGFs has revolutionized its management and promises relatively better outcomes." @default.
- W2188886815 created "2016-06-24" @default.
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- W2188886815 date "2016-03-01" @default.
- W2188886815 modified "2023-09-27" @default.
- W2188886815 title "Neovascular Glaucoma – A Review" @default.
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- W2188886815 doi "https://doi.org/10.7869/djo.163" @default.
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