To evaluate the intraocular pressure reduction effect of combined gonioscopy-assisted transluminal trabeculotomy (GATT) with goniosynechialysis in eyes with secondary synechial angle closure glaucoma.
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.
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.