25-Gauge Microincision Vitrectomy to Treat Vitreoretinal Disease in Glaucomatous Eyes after Trabeculectomy
Figure 1
Representative example of proliferative diabetic retinopathy (PDR) complicated by neovascular glaucoma (NVG) (Patient 12; see Table 1). Fundus, anterior segment, and intraoperative photographs of the eye of a 61-year-old man with PDR/NVG. The eye underwent 25-gauge microincision vitrectomy surgery (25GMIVS) after trabeculectomy. (a) Preoperative photograph of the fundus. We could not visualize the posterior fundus due to vitreous hemorrhage (VH). (b) Intraoperative photograph of the anterior segment. 25GMIVS was being performed with 3 ports. The insertion placement of the cannulas was shifted to avoid disturbing the subconjunctival hemorrhage of the filtering bleb in the upper temporal region. (c) Postoperative photograph of the fundus. The VH has been removed and the retinal surface can be seen clearly. (d) One-day postoperative photograph of the anterior segment. There was no subconjunctival hemorrhage, including the filtering bleb, in the upper temporal region.
