Successful goniosynechialysis for angle-closure glaucoma after vitreoretinal surgery

PURPOSE: To describe 2 cases of long-term successful clinical outcome after goniosynechialysis for secondary angle-closure glaucoma after vitreoretinal surgery. METHODS: Case reports. Goniosynechialysis was performed bilaterally in 1 patient and unilaterally in another for uncontrolled angle-closure...

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Bibliographic Details
Published in:American journal of ophthalmology 2000-12, Vol.130 (6), p.834-835
Main Authors: Assalian, Alfred, Sebag, Mikaël, Desjardins, Daniel C, Labelle, Pierre F
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Corneal Diseases - etiology
Corneal Diseases - surgery
Female
Glaucoma, Angle-Closure - etiology
Glaucoma, Angle-Closure - surgery
Gonioscopy
Humans
Intraocular Pressure
Iris Diseases - etiology
Iris Diseases - surgery
Male
Medical sciences
Middle Aged
Ophthalmologic Surgical Procedures
Scleral Buckling - adverse effects
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Tissue Adhesions
Visual Acuity
Vitrectomy - adverse effects
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Summary:PURPOSE: To describe 2 cases of long-term successful clinical outcome after goniosynechialysis for secondary angle-closure glaucoma after vitreoretinal surgery. METHODS: Case reports. Goniosynechialysis was performed bilaterally in 1 patient and unilaterally in another for uncontrolled angle-closure glaucoma after vitreoretinal surgery. RESULTS: Angle reopening was performed 2 to 4 months after initial closure. After follow-up of between 3 and 5 years, intraocular pressure has remained below 21 mm Hg without medication in all three eyes. CONCLUSION: Goniosynechialysis should be considered a viable therapeutic alternative to filtration surgery in selected patients with a recent history of angle-closure glaucoma after vitreoretinal surgery.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(00)00632-2