This patient represents probably a diabetic patient with poor diabetic control. You have to contact her primary physician and find out about her treatment for diabetes. Find out about other co morbidity such as hypertension. Check the fellow eye for diabetic retinopathy. Rule out retinal vein occlusion or other occlusive disease. Start local hypotensive agents and systemic as needed. After establishing the cause for Neovascular glaucoma administer intravitreal Avastin or Lucentis prior to surgery.

If visibility permits laser treatment according to your findings, Pan retinal photocoagulation etc.

I agree with dr Zarfati, Interestingly the subject has still BCVA 6/18. You have to manage the IOP before any surgery. Intra-vitreal injections (Avastin, Lucentis or Eyelea) would help.. I would dilate the pupils (might help to reduce the IOP) . A combined surgery cataract + Vitrectomy (with endolaser ) would be our choice

ı agree with both phisican pre surghey intravitreal anatiVEGF agents should be administered and topical hypotensive agents except prostaglandine anaoluges and we should avoid for an urgery surgery

I, agree with all of you, and also if the patient has that visual acuity, and a neovascular glaucoma, then you must try an urgent PRP, and always a gonioscopy as part of the initial evaluation.