title: Goniosynechialysis using an ophthalmic endoscope and cataract surgery for primary angle-closure glaucoma.
abstract: OBJECTIVE
  The purpose of the study was to evaluate the safety and efficacy of goniosynechialysis (GSL) using an ophthalmic endoscope (OE) and cataract surgery for primary angle-closure glaucoma.
  
  
  METHODS
  The study design includes a retrospective case series.
  
  
  METHODS
  The medical records of 34 eyes with primary angle-closure glaucoma and cataract were reviewed.
  
  
  METHODS
  The method used in the study was GSL using an OE following a cataract surgery.
  
  
  METHODS
  The main outcome measures were intraocular pressure (IOP), best corrected visual acuity, corneal endothelial cell densities, and perioperative complications.
  
  
  RESULTS
  The mean postoperative IOP decreased from 37.7±21.2 to 12.2±2.9 mm Hg. IOP was maintained below 21 mm Hg in all cases without glaucoma medication. No significant intraoperative and postoperative complications occurred. There was no statistically significant difference between the preoperative and postoperative corneal endothelial cell densities.
  
  
  CONCLUSIONS
  GSL using OE is an effective and safe surgical procedure.
authors.affiliation: *Yasuma Eye Clinic Osu Naka-ku †Social Insurance Chukyo Hospital, Sanjo, Minami-ku, Nagoya Aichi, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Maeda
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Watanabe
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ichikawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001082:Aqueous Humor / Q000502:physiology; D003315:Cornea / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000601:surgery*; D014065:Tonometry, Ocular; D014129:Trabecular Meshwork / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology