Panretinal cryotherapy as prophylaxis of the neovascular glaucoma in diabetic elderly undergoing cataract surgery
Keywords:
elderly, diabetes mellitus, cataract, diabetic retinitis, neovascular glaucoma, panretinal cryotherapy, ophthalmological institutions.Abstract
A cohort study of 18 diabetic elderly, affected by cataract and some degree of retinitis, assistted in the respective Cataract and Retina services of the Ophthalmological Center of “Dr. Juan Bruno Zayas Alfonso” Teaching General Hospital in Santiago de Cuba, was carried out from July, 2012 to March, 2013, aimed at determining the utility of panretinal cryotherapy as prophylaxis of the neovascular glaucoma. In the case material the women (66.6%) and the mean ages of 68.1 years in the female sex prevailed; among the personal and family pathological history, the diabetes mellitus prevailed (with 100.0 and 88.8%, respectively) and the most common symptom was the progressive decrease of vision in the preoperative period and the bad night vision in the postoperative period. After extracting the opaque lens, the vision was higher at 0.4 in 83.3% of the series members, which facilitated recovering its functional capacity and, therefore, their life quality increased substantially by preventing the emergence of neovascular glaucoma.
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