title: Goniosynechialysis with lens aspiration and posterior chamber intraocular lens implantation for glaucoma in spherophakia.
abstract: A 17-year-old girl presented with bilateral angle-closure glaucoma associated with spherophakia. A previous bilateral laser iridotomy failed to control intraocular pressure (IOP). Goniosynechialysis with lens aspiration and posterior chamber intraocular lens implantation were performed in both eyes. Peripheral iridoplasty was performed 3 days later. The postoperative IOP was controlled without medication for 12 months in the right eye and 24 months in the left eye. By restructuring the physiologic aqueous outflow route, goniosynechialysis safely and effectively treated secondary glaucoma from spherophakia.
authors.affiliation: Department of Organ Therapeutics, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Akiyasu
authors.initials: A
authors.lastname: Kanamori
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakamura
authors.forename: Noriko
authors.initials: N
authors.lastname: Matsui
authors.forename: Hiroko
authors.initials: H
authors.lastname: Tomimori
authors.forename: Makiko
authors.initials: M
authors.lastname: Tanase
authors.forename: Ryu
authors.initials: R
authors.lastname: Seya
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Maeda
authors.forename: Akira
authors.initials: A
authors.lastname: Negi
mesh_terms: D000293:Adolescent; D000867:Anterior Chamber / Q000000981:diagnostic imaging; D019923:Capsulorhexis; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy; D053685:Laser Therapy; D007905:Lens Diseases / Q000150:complications* / Q000151:congenital / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D013396:Suction; D014463:Ultrasonography