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(23)

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Abstract #78258 Published in IGR 19-4

Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy

Alsobaie NA; Almohizea AI; Al-Zahrani Y; Malik R
American journal of ophthalmology case reports 2018; 12: 15-17

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PURPOSE: To report the effectiveness of Goniosynechialysis (GSL) treating elevated intraocular pressure (IOP) in an aphakic eye with peripheral anterior synechiae (PAS) formation after vitrectomy. OBSERVATIONS: A 39-year-old gentleman with history of lamellar keratoplasty for corneal ectasia and blunt trauma to the right eye necessitating vitrectomy and lensectomy presented to our glaucoma unit with a secondary angle closure and an IOP of 50 mmHg. This was successfully treated with GSL and one year after surgery, the patient maintains a normal IOP without the use of medication. CONCLUSIONS AND IMPORTANCE: GSL may successfully restore angle integrity in aphakic patients following vitreoretinal surgery and avoid the need for a glaucoma drainage device.

College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Uthman Ibn Affan Rd, An Nada, Riyadh, 13317, Saudi Arabia.

Full article

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Classification:

9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)

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