Successful goniosynechialysis for angle-closure glaucoma after vitreoretinal surgery.
OBJECTIVE
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.


CONCLUSIONS
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.
Assalian
A
A
Department of Ophthalmology, CHUM-Hôpital Notre-Dame, Université de Montréal, Montréal, Québec, Canada.
Sebag
M
M
Desjardins
D C
DC
Labelle
P F
PF
D000368:Aged; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000209:etiology / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D007499:Iris Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012591:Scleral Buckling / Q000009:adverse effects*; D000267:Tissue Adhesions; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*