title: [Goniosynechiae as a complication of non-penetrating deep sclerectomy by inappropriate use of mydriatic: case report].
abstract: Non-penetrating deep sclerectomy has been an alternative to trabeculectomy, because it has the advantage of reducing intraocular pressure (IOP), without penetrating the anterior chamber. Thus, it avoids a sudden decompression and a plain anterior chamber. In this paper, we described a case of a female patient, 53 years old, black, with diagnosis of open-angle primary glaucoma, with unsatisfactory clinical control and who was submitted to non-penetrating deep sclerectomy. The patient developed goniosynechiae at the site of the sclerectomy, after inappropriate use of mydriatic eye-drops during the postoperative period, leading to an increase of IOP and, therefore, failure of the surgery. The use of mydriatic eye-drops during the postoperative period of deep sclerectomy is not indicated, because in this case, it led to surgery failure.
authors.affiliation: Departamento de Glaucoma, Instituto Benjamin Constant, Rio de Janeiro, RJ, Brasil. rtvaz2@hotmail.com
authors.forename: Rinalva Tenório
authors.initials: RT
authors.lastname: Vaz
authors.forename: Patricia Capua Vieira da
authors.initials: PC
authors.lastname: Silva
authors.forename: Giovanni Nicola Umberto Italiano
authors.initials: GN
authors.lastname: Colombini
mesh_terms: D000867:Anterior Chamber; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D008875:Middle Aged; D009184:Mydriatics / Q000008:administration & dosage / Q000009:adverse effects*; D009883:Ophthalmic Solutions; D012599:Sclerostomy / Q000009:adverse effects*; D014331:Tropicamide / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D009184:Mydriatics; D009883:Ophthalmic Solutions; D014331:Tropicamide