Phacoemulsification and Goniosynechialysis in the Management of Unresponsive Primary Angle Closure

Abstract

Phacoemulsification with goniosynechialysis may be an effective treatment option for primary angle closure unresponsive to conventional therapy.

Combined phacoemulsification and viscogoniosynechialysis in patients with refractory acute angle-closure glaucoma

“…10,11 Phacoemulsification, with or without goniosynechialysis, has been shown to be a good surgical option for the management of acute or subacute ACG in different populations. 9,12 In a study by Harasymowycz et al, 12 21 patients with acute or subacute ACG had phacoemulsification and goniosynechialysis. The mean IOP decreased from 40.7 mm Hg with 3.8 medications preoperatively to 15.5 mm Hg with 1.7 medications at the last follow-up.…”

Efficacy of goniosynechialysis in the treatment of chronic angle-closure glaucoma: a five-case report

“…GSL is mainly indicated when PAS with at least 180º has been present for less or up to a year. It can be associated with other procedures such as trabeculotomy or phacoemulsification with or without intraocular lens implantation (6)(7)(8)(9)14,15) . In this paper, GSL was the only surgical procedure in two (40%) eyes.…”

Laser Iridoplasty Techniques for Narrow Angles and Plateau Iris Syndrome

“…When concomitant PAS are present, especially when greater than 270°, goniosynechiolysis has been proven to augment the IOP lowering effect [34][35][36] (Fig. 62.2a, b).…”