Late recurrent iris synechia following laser goniopuncture for deep sclerectomy enhancement: case report

Abstract

We report a case of recurrent iris synechiae one year after Nd:YAG laser goniopuncture for deep sclerectomy enhancement in the only functional eye of a patient with end-stage glaucoma. The possible pathophysiology of this uncommon complication and laser treatment aspects are discussed.

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“…Iris synechia and the more severe form pupil seclusion (Seclusio pupillae) describe the adhesion of the iris muscle to neighbouring structures (Gelatt et al, 2012;Maggs et al, 2012). The reasons are usually inflammatory processes in the eye, often caused by traumatic interventions like surgery (Rowsey and Gaylor, 1980;Kim et al, 2009;Hilgert et al, 2012). The pupillary edge can be attached partially to the cornea (anterior synechia) or to the lens (posterior synechia) but also throughout the entire pupillary margin, resulting in pupil seclusion.…”