Outcome of GATT Combined With Goniosynechiolysis in Glaucoma Patients With Secondary Synechial Angle Closure.
Trial Parameters
Brief Summary
To evaluate the intraocular pressure reduction effect of combined gonioscopy-assisted transluminal trabeculotomy (GATT) with goniosynechialysis in eyes with secondary synechial angle closure glaucoma.
Eligibility Criteria
Inclusion Criteria: * Patients with secondary synechial angle closure glaucoma * Involving more than 180 degrees of the iridocorneal angle * Requiring surgery for uncontrolled IOP despite maximum tolerated therapy. Exclusion Criteria: * Eyes with PACG. * Eyes with neovascular glaucoma. (Some apparently stable NVG cases would have remnants of neo-vessels in the angle that are hidden behind the synechiae). * Eyes with retinal pathology. * Eyes requiring combined phacoemulsification and GATT. * Eyes with corneal pathology that can preclude surgery and imaging.