[Nd:YAG laser synechiolysis in glaucoma due to iridocorneal angle synechiae]

Seven patients with chronic angle-closure glaucoma and medically uncontrollable intraocular pressure were treated with the Q-switched Nd:YAG laser. Goniosynechiolysis was achieved at least partially. Follow-up time was 6-17 months. By means of additional monotherapy with a local beta-blocking agent where necessary, intraocular pressure was regulated to below 21 mm Hg in 5 of 7 patients. There were no severe complications. In selected cases Nd:YAG goniosynechiolysis may represent an effective means of lowering intraocular pressure.