If secondary glaucoma is uncontrolled, a glaucoma trained ophthalmologist may be necessary. Vigorous physical activity may precipitate a sickle cell crisis. Pain can be relieved with oral or IM medications. Folic acid and iron may help increase RBC production. Triple freeze thaw has a high complication rate.
Single thaw is used to treat peripheral vitreous hemorrhage in the presence of vitreous hemorrhage.
Xenon arc and argon laser photocoagulation have been used to treat either the peripheral neovascularization or the feeder vessels to the neovascularization. When intraocular pressures are stabilized, the patient can be monitored every 6 months. Prompt treatment of infections Regular use of medications At least one quart of fluid daily may avoid crisis. Bleeding may occur and limit physical activity. By controlling causes that precipitate a crisis, the prognosis is favorable.