Iris synechia after laser goniopuncture in a patient having deep sclerectomy with a collagen implant.
Neodymium:YAG (Nd:YAG) goniopuncture is an efficient and safe treatment for low filtration through the trabeculo-Descemet's membrane after deep sclerectomy with a collagen implant (DSCI). The only reported complication of this procedure is choroidal detachment. However, we found an iris synechia in a patient whose intraocular pressure (IOP) was elevated again 1 month after Nd:YAG goniopuncture. Synechiolysis and peripheral iridectomy with Nd:YAG and argon lasers effectively removed the iris synechia, and IOP immediately dropped to the normal range. We believe that iris synechia is a potential complication that may cause elevated IOP after laser goniopuncture in patients having DSCI.
Kim
Chan Y
CY
Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea.
Hong
Young J
YJ
Seong
Gong J
GJ
Koh
Hyoung J
HJ
Kim
Sung S
SS
D000328:Adult; D003094:Collagen; D003316:Corneal Diseases / Q000209:etiology*; D018463:Filtering Surgery; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D007499:Iris Diseases / Q000209:etiology*; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D019919:Prosthesis Implantation; D011677:Punctures / Q000009:adverse effects*; D012599:Sclerostomy; D000267:Tissue Adhesions / Q000209:etiology
D003094:Collagen