CILIARY BODY ENDOPHOTOCOAGULATION DURING PARS-PLANA VITRECTOMY IN EYES WITH VITREORETINAL DISORDERS AND CONCOMITANT UNCONTROLLED GLAUCOMA

Purpose: To investigate the efficacy of ciliary body endophotocoagulat ion during pars plana vitrectomy in eyes with medically uncontrolled g laucoma and concomitant vitreoretinal disorders. Methods: The authors compared preoperative and postoperative intraocular pressure (IOP) and visual acuity in 21 eyes of 21 patients undergoing ciliary body endop hotocoagulation with pars plana vitrectomy. Results: Preoperative IOPs ranged from 22 to 59 mmHg (median, 46 mmHg). Visual acuity ranged fro m 20/200 to light perception (median, hand motions). Follow-up ranged from 3 to 18 months (median, 10 months). Postoperative IOPs ranged fro m 11 to 19 mmHg (median, 16 mmHg) at 6 weeks, 4 to 20 mmHg (median, 14 mmHg) at 3 months, 1 to 26 mmHg (median, 12 mmHg) at 6 months, and 0 to 48 mmHg (median, 12 mmHg) at 12 months. Postoperative visual acuity was statistically improved from preoperative visual acuity by 6 weeks . Conclusion: Ciliary body endophotocoagulation combined with pars pla na vitrectomy can effectively treat concomitant glaucoma and vitreoret inal disorders.