AIM: To compare the effect of two surgical methods on neovascular glaucoma(NVG).

METHODS: The clinical date of 46 cases(57 eyes)with NVG underwent surgical treatment were retrospectively analyzed and followed-up. Patients were divided into Ahmed glaucoma valve(AGV)implantation group(group A, 24 cases, 31 eyes)and semiconductor diode laser transscleral ciliary body photocoagulation(TSCPC)group(group B, 22cases, 26 eyes)according to the surgical approach. The intraocular pressure, visual acuity and postoperative complications were compared before and after operation.

RESULTS: The intraocular pressure postoperative in two groups were significantly lower than those preoperative(P < 0.05), but there was no significant difference between the two groups(P>0.05). The changes of visual acuity postoperative showed no statistical difference between the two groups(P>0.05). The postoperative complications of group A was significantly lower than that in group B, in which the incidence of eye pain, anterior chamber bleeding were significant differences between two groups(P <0.05).

CONCLUSION: AGV implantation treatment and TSCPC for NVG are both valid, but AGV implantation is filtration surgery, and TSCPC isciliary body destructive surgery, and the latter has higher rate of postoperative complications.