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Successful goniosynechialysis for angle-closure glaucoma after vitreoretinal surgery
A Assalian1, M Sebag, D C Desjardins
1Department of Ophthalmology, CHUM-Hôpital Notre-Dame, Université de Montréal, Montréal, Québec, Canada.
American Journal of Ophthalmology
|December 22, 2000
Summary
Goniosynechialysis offers a successful long-term treatment for secondary angle-closure glaucoma following vitreoretinal surgery. This procedure effectively reopens the angle and controls intraocular pressure without medication in select cases.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Techniques
Background:
- Secondary angle-closure glaucoma can occur after vitreoretinal surgery.
- Managing this condition is crucial for preserving vision.
Observation:
- Two cases of secondary angle-closure glaucoma post-vitreoretinal surgery were treated with goniosynechialysis.
- The procedure was performed 2-4 months after initial angle closure.
Findings:
- Long-term follow-up (3-5 years) showed successful angle reopening.
- Intraocular pressure remained below 21 mm Hg without medication in all treated eyes.
Implications:
- Goniosynechialysis is a viable alternative to filtration surgery for selected patients.
- This approach may offer a less invasive option for managing post-surgical glaucoma.