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

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 blu...

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Main Authors: Nasser A. Alsobaie, Asma I. Almohizea, Yahya Al-Zahrani, Rizwan Malik
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993618301233
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author Nasser A. Alsobaie
Asma I. Almohizea
Yahya Al-Zahrani
Rizwan Malik
author_facet Nasser A. Alsobaie
Asma I. Almohizea
Yahya Al-Zahrani
Rizwan Malik
author_sort Nasser A. Alsobaie
collection DOAJ
description 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. Keywords: Aphakic, Goniosynechialysis, Intraocular pressure, Peripheral anterior synechiae, Vitrectomy
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spelling doaj.art-3863f194cfe543a29ae99a11b0c83ad42022-12-22T00:48:51ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-12-01121517Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomyNasser A. Alsobaie0Asma I. Almohizea1Yahya Al-Zahrani2Rizwan Malik3College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Uthman Ibn Affan Rd, An Nada, Riyadh, 13317, Saudi ArabiaCollege of Medicine, King Saud University, King Saud University Medical City, PO Box, 242069, Riyadh, 11322, Saudi ArabiaRetina Division, King Khaled Eye Specialist Hospital, Al-Arubah Branch Rd, Riyadh, 12329, Saudi ArabiaGlaucoma Division, King Khaled Eye Specialist Hospital, Al-Arubah Branch Rd, Riyadh, 12329, Saudi Arabia; Corresponding author. Glaucoma Division, King Khaled Eye Specialist Hospital, Al-Arubah Branch Rd, Riyadh, 12329, Saudi Arabia.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. Keywords: Aphakic, Goniosynechialysis, Intraocular pressure, Peripheral anterior synechiae, Vitrectomyhttp://www.sciencedirect.com/science/article/pii/S2451993618301233
spellingShingle Nasser A. Alsobaie
Asma I. Almohizea
Yahya Al-Zahrani
Rizwan Malik
Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
American Journal of Ophthalmology Case Reports
title Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
title_full Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
title_fullStr Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
title_full_unstemmed Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
title_short Goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
title_sort goniosynechialysis for secondary angle closure glaucoma in aphakic patient after pars plana vitrectomy
url http://www.sciencedirect.com/science/article/pii/S2451993618301233
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AT yahyaalzahrani goniosynechialysisforsecondaryangleclosureglaucomainaphakicpatientafterparsplanavitrectomy
AT rizwanmalik goniosynechialysisforsecondaryangleclosureglaucomainaphakicpatientafterparsplanavitrectomy