# Reversal of Peripheral Anterior Synechiae After Trabeculectomy With Argon Laser Synechiolysis

**Authors:** Inderpreet Kaur, Norshamsiah Md Din, Jemaima Che Hamzah, Rupini Yogesvaran

PMC · DOI: 10.7759/cureus.59668 · Cureus · 2024-05-05

## TL;DR

A young patient with eye pressure from steroids had a successful non-invasive treatment to restore eye fluid flow after surgery.

## Contribution

Demonstrates argon laser synechiolysis as an effective non-invasive treatment for iris tissue blocking fluid flow post-trabeculectomy.

## Key findings

- Argon laser successfully removed iris tissue blocking the internal ostium.
- Aqueous flow was reinstated without further invasive procedures.
- Treatment was effective in a patient with steroid-induced ocular hypertension.

## Abstract

We report a case of successful argon laser synechiolysis as a non-invasive alternative for peripheral anterior synechiae release after trabeculectomy in a young patient with steroid-induced ocular hypertension. Steroid-induced ocular hypertension is a known complication of vernal keratoconjunctivitis due to prolonged treatment with steroids. In refractive conditions, augmented trabeculectomy becomes the surgery of choice in these patients. In this article, we report successful treatment of iris tissue plugging the internal ostium with an argon laser and reinstatement of aqueous flow.

## Linked entities

- **Diseases:** vernal keratoconjunctivitis (MONDO:0019085), ocular hypertension (MONDO:0006875)

## Full-text entities

- **Diseases:** vernal keratoconjunctivitis (MESH:D003233), ocular hypertension (MESH:D009798), Anterior Synechiae (MESH:D006175)
- **Chemicals:** Argon (MESH:D001128), Steroid (MESH:D013256)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11149058/full.md

## References

8 references — full list in the complete paper: https://tomesphere.com/paper/PMC11149058/full.md

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Source: https://tomesphere.com/paper/PMC11149058