Clinical Observation of the Combined Effect of Whole Retina Laser Photocoagulation and Composite Trabeculectomy in the Treatment of Neovascular Glaucoma
Objective:To comprehensively analyze the clinical effects of the combination of whole retinal laser photocoagulation (PRP) and composite trabeculectomy in the treatment of neovascular glaucoma (NVG). Methods:84 NVG patients admitted to our hospital from December 2022 to December 2023 were randomly divided into a control group (42 cases,treated with composite trabeculectomy) and an observation group (42 cases,treated with composite trabeculectomy+PRP) using a random number table method. Compare the intraocular pressure and visual acuity levels of the two groups before and after 3 months of treatment,and compare the incidence of complications between the two groups. Results:In terms of intraocular pressure and visual acuity,there was no significant difference between the two groups before treatment (P>0.05). After treatment,both groups improved compared to before treatment,and the visual acuity of the observation group was higher than that of the control group,while the intraocular pressure level was lower than that of the control group (P<0.05);In terms of the overall incidence of complications,the observation group (7.14%) was lower than the control group (23.81%) (P<0.05). Conclusion:The combination therapy of PRP and composite trabeculectomy is effective for NVG patients,which is beneficial for improving their intraocular pressure and vision,and can prevent complications. It has high clinical reference value.