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Goniosynechialysis

Goniosynechialysis (GSL) is a surgical technique performed to strip the peripheral anterior synechiae (PAS) from the trabecular surface in the angle and provide aqueous renewed access to the trabecular meshwork. Goniosynechilalysis may cause spikes of raised intraocular pressure during and after the GSL procedure leading to loss of vision. GSL is more suitable for eyes with a minimal to moderate degree of neuronal damage. In order for GSL to be effective, it must be performed before there is irreversible histological change in the meshwork. The mechanisms causing the angle closure should also be eliminated by performing peripheral iridotomy, laser peripheral iridoplasty, or lens extraction, either alone or in combination, to minimize the possibility of recurrent closure.