GONIOSCOPIC EVALUATION OF GLAUCOMA PATIENTS AFTER TRABECULECTOMY

Seventy-three eyes of 65 patients with various types of glaucoma have been evaluated before and after trabeculectomy. These cases have been examined gonioscopically preoperatively and in the 1st, 3rd, and 6th m onths. The status of the trabeculectomy defect, and synechiae related to the area, factors predisposing to the development of synechiae, hav e been looked at. Peripheral anterior synechia formation was more pron ounced in chronic angle closure glaucoma, exfoliative glaucoma and sec ondary glaucoma. The relationship between synechiae and intraocular pr essure has been defined. The eyes with total peripheral anterior synec hia had a lesser degree of success in lowering the intraocular pressur e.