Work

Combined irido-zonulo-hyaloido -vitrectomy with goniosynechialysis and goniotomy in pseudophakic malignant glaucoma

Year: 2026

Type: article

Abstract: We report a novel surgical approach combining irido-zonulo- hyaloido-vitrectomy (iZHV) with goniosynechialysis and goniotomy for managing pseudophakic malignant glaucoma (PMG) with extensive peripheral anterior synechiae (PAS). A 51-year-old male presented with uniformly shallow anterior chamber and uncontrolled intraocular pressure (IOP) despite maximum medications. PMG was diagnosed, and iZHV was performed. During surgery, extensive PAS was confirmed, and goniosynechialysis and goniotomy were performed. One year after surgery, IOP was maintained at 12–15 mmHg with a satisfactory anterior chamber depth. Combined iZHV with goniosynechialysis and goniotomy represents a viable and effective surgical option for managing PMG complicated with extensive PAS.

Source: Indian Journal of Ophthalmology - Case Reports

DOI: 10.4103/ijo.ijo_1344_26

Authors: Chunxin Lai, Yuhan Feng, Di Wang, Yuxuan Li, Hongyang Zhang

Institutions: Nanfang Hospital, Southern Medical University

Language: English

Topic: Glaucoma and retinal disorders

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7224299026

FWCI:

Cites: 10

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Related to: 10