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  5. FP0085 : Management of stage 4 NVG in PDR : PPV+EL+Trabeculectomy+MMC vs PRP followed by Trabeculectomy+MMC

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Dr. SHILPI NARNAWARE

Dr. PRASHANT KESHAO BAWANKULE, Dr.Richa Gupta

Abstract

Purpose: To compare success between PPV+EL+Trabeculectomy+MMC vs PRP followed by Trabeculectomy+MMC in stage 4 NVG in PDR .

Methods: Prospective,interventional study including 16 eyes with stage 4 NVG in PDR between July 2019 – December 2020. Depending upon type of surgery,patients were divided into 2 groups. Group I:PRP followed by Trabeculectomy+MMC (n=8) ,Group II:Combined PPV+EL+Trabeculectomy+MMC (n=8). All patients received intravitreal bevacizumab 3 days before surgery. Success criteria was postop intraocular pressure <20 mm Hg with/without AGM. Results: Postop IOP decreased significantly in both groups,but mean IOP after 6 months was lower in combined (17 mm Hg) than Trabeculectomy (22.25 mm Hg; p = 0.204). Combined group required fewer AGM (mean:0.88) than Trabeculectomy (mean:1.38). Cumulative success rates were 100% &amp; 75% respectively. Conclusion: PPV+EL+Trabeculectomy+MMC could be more effective in controlling IOP with better visual outcome than Trabeculectomy+MMC .

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