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Abstract #15760 Published in IGR 2-3
Efficacy and safety of inferior 180 degrees goniosynechialysis followed by diode laser peripheral iridoplasty in the treatment of chronic angle-closure glaucoma
Lai JS; Tham CC; Chua JKH; Lam DSCJournal of Glaucoma 2000; 9: 388-391
PURPOSE: To report the efficacy and safety of inferior 180° goniosynechialysis followed by diode laser peripheral iridoplasty in the treatment of chronic angle-closure glaucoma with total synechial angle closure. METHODS: Five patients with chronic angle-closure glaucoma and total synechial angle closure whose intraocular pressures were higher than 21 mmHg while taking maximally tolerated medications underwent goniosynechialysis followed by diode laser peripheral iridoplasty to the inferior half of the angle. Intraoperative complications, postoperative visual acuity, intraocular pressures, and complications were evaluated. RESULTS: Five eyes of five patients received the operation and the mean follow-up was 7.6 months (range, 6-12 months). The mean preoperative intraocular pressure was 33.8 ± 5.8 mmHg. The mean postoperative intraocular pressure at most recent follow-up was 15.8 ± 2.2 mmHg. Postoperative complications included transient increase in intraocular pressure, hyphema, and cataract. The success rate (intraocular pressure less than 20 mmHg with or without medication) was 80.0%. CONCLUSIONS: It appears that 180° goniosynechialysis followed by diode laser peripheral iridoplasty is an effective and safe surgical procedure for treating chronic angle-closure glaucoma with total synechial angle closure.
Dr. J.S. Lai, Department of Ophthalmology, United Christian Hospital, Kwun Tong, Kowloon, Hong Kong
Classification:
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)