Successful goniosynechialysis for angle-closure glaucoma after vitreoretinal surgery

PURPOSE: To describe 2 cases of long-term successful clinical outcome after goniosynechialysis for secondary angle-closure glaucoma after vitreoretina l surgery. METHODS: Case reports. Goniosynechialysis was performed bilaterally in 1 pa tient and unilaterally in another for uncontrolled angle-closure glaucoma a fter vitreoretinal surgery. RESULTS: Angle reopening was performed 2 to 4 months after initial closure. After follow-up of between 3 and 5 years, intraocular pressure has remaine d below 21 mm Hg without medication in all three eyes. CONCLUSION: Goniosynechialysis should be considered a viable therapeutic al ternative to filtration surgery in selected patients with a recent history of angle closure glaucoma after vitreoretinal surgery. (C) 2000 by Elsevier Science Inc. All rights reserved.