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PURPOSE: To describe two cases of long-term successful clinical outcome after goniosynechialysis for secondary angle-closure glaucoma after vitreoretinal surgery. METHODS: Case reports. Goniosynechialysis was performed bilaterally in one patient and unilaterally in another for uncontrolled angle-closure glaucoma after vitreoretinal surgery. RESULTS: Angle reopening was performed two to four months after initial closure. After follow-up of between three and five years, intraocular pressure has remained below 21 mmHg without medication in all three eyes. CONCLUSIONS: Goniosynechialysis should be considered a viable therapeutic alternative to filtration surgery in selected patients with a recent history of angle-closure glaucoma after vitreoretinal surgery.
Dr. A. Assalian, Department of Ophthalmology, CHUM-Hôpital Notre-Dame, Université de Montreal, Montreal, Quebec, Canada
12.20 Other (Part of: 12 Surgical treatment)