No additional benefit in IOP-lowering effect was seen when goniosynechialysis was added to phacoemulsification in patients with primary angle closure glaucoma and cataract.
In four Asian cohorts from Singapore, Hong Kong, Vietnam and Thailand, 78 patients were randomly assigned to undergo phacoemulsification alone or phacoemulsification with goniosynechialysis. At baseline, mean IOP was 22.3 mm Hg in the phaco-alone group and 22.9 mm Hg in the combined group, and demographic and ocular characteristics between the groups were similar.
At 1 year postoperatively, mean IOP was 14.3 mm Hg in the
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