Evaluation of Phacogoniosynechialysis Combined with Viscocanalostomy and Ologen Implant in Treating Primary Angle-Closure Glaucoma: A Pilot Retrospective Cohort Analysis - Scorecard - MDSpire

Evaluation of Phacogoniosynechialysis Combined with Viscocanalostomy and Ologen Implant in Treating Primary Angle-Closure Glaucoma: A Pilot Retrospective Cohort Analysis

  • By

  • Ahmed A. M. Gad

  • Bahaa-Eldin Hasan Abdulhalim

  • Amr Mahfouz Mohammed

  • April 13, 2026

  • 0 min

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Clinical Scorecard: Evaluation of Phacogoniosynechialysis Combined with Viscocanalostomy and Ologen Implant in Treating Primary Angle-Closure Glaucoma: A Pilot Retrospective Cohort Analysis

At a Glance

CategoryDetail
ConditionPrimary Angle-Closure Glaucoma (PACG)
Key MechanismsIridotrabecular contact, peripheral anterior synechia (PAS), elevated intraocular pressure (IOP), glaucomatous optic neuropathy.
Target PopulationPatients aged ≥ 50 years with medically uncontrolled PACG and PAS ≥ 270°.
Care SettingOphthalmology Department, Suez General Hospital, Egypt.

Key Highlights

  • Surgical intervention is necessary when IOP is uncontrolled by medications.
  • Phacogoniosynechialysis combined with viscocanalostomy and Ologen implant shows promise for PACG management.
  • Target IOP set at 15 mmHg for moderate glaucoma and 18 mmHg for mild glaucoma, aiming to prevent further optic nerve damage.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis based on IOP > 21 mmHg and glaucomatous field loss.

Management

  • Initial management includes laser peripheral iridotomy; surgery considered if medications fail, especially in extensive PAS cases.

Monitoring & Follow-up

  • Regular monitoring of IOP and visual field changes.

Risks

  • Surgical risks include hypotony, shallow anterior chamber, and endophthalmitis.

Patient & Prescribing Data

Patients with mild to moderate PACG and extensive PAS.

Topical antiglaucoma medications often ineffective in extensive PAS cases, necessitating surgical intervention.

Clinical Best Practices

  • Perform goniosynechialysis to release PAS before significant damage occurs.
  • Use high-viscosity sodium hyaluronate to manage shallow anterior chamber during surgery.
  • Consider patient-specific factors when determining surgical approach.

References

Original Source(s)

Evaluation of Phacogoniosynechialysis Combined with Viscocanalostomy and Ologen Implant in Treating Primary Angle-Closure Glaucoma: A Pilot Retrospective Cohort Analysis

  • by Ahmed A. M. Gad, Bahaa-Eldin Hasan Abdulhalim, Amr Mahfouz Mohammed

  • April 13, 2026

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