{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T02:50:50Z","timestamp":1781923850812,"version":"3.54.5"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the efficacy of lensectomy (LE) and the role of additional goniosynechialysis (LE-GSL) in eyes with medically uncontrolled synechial angle-closure glaucoma (ACG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The records of patients who underwent LE or LE-GSL for &gt;180\u00b0 synechial ACG were reviewed retrospectively. Three groups were formed based on intraoperative gonioscopy (IOG) findings following lensectomy and intraocular lens implantation: Group 1 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200939), eyes with total peripheral anterior synechiae (PAS) in which GSL was performed; Group 2 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200937), eyes with PAS\u2009\u2265\u2009180\u00b0 and &lt;360\u00b0 in which GSL was performed; and Group 3 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200935), eyes with PAS\u2009&lt;\u2009180\u00b0 in which no GSL was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 111 eyes of 98 patients (M\/F: 46\/52; mean age: 60.1\u2009\u00b1\u200911.01 years) were included in the study. Median postoperative follow-up time was 12.0 months. Median PAS extents in the three groups were 12, 6, and 0 clock hours (CH) on IOG, compared to 12, 10, and 7 CH before surgery. GSL was performed in Groups 1 and 2, with a median of 11 and 4 CH. Median IOP at the final visit was 14\u2005mmHg in all three groups. Total success rates were 87%, 81%, and 97% in Groups 1, 2, and 3, respectively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.102).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present study identified discrete groups of patients who would benefit from LE alone versus needing further GSL in synechial ACG. When PAS was &lt;180\u00b0 on IOG, LE alone effectively reduced IOP; in eyes with extensive PAS, performing additional GSL yielded successful results, comparable to eyes undergoing LE alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261425698","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T17:37:34Z","timestamp":1771868254000},"page":"943-953","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of medically uncontrolled synechial angle-closure Glaucoma: Lensectomy\n                    <i>with or without<\/i>\n                    Goniosynechialysis"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-6625","authenticated-orcid":false,"given":"Hilal Zeynep","family":"Ceylan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Erci\u015f \u015eehit Ridvan \u00c7evik State Hospital"},{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-8967","authenticated-orcid":false,"given":"Nese","family":"Alagoz","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9766-4193","authenticated-orcid":false,"given":"Erdem","family":"Erdogdu","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cigdem","family":"Altan","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3784-1607","authenticated-orcid":false,"given":"Ihsan","family":"Cakir","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1954-2400","authenticated-orcid":false,"given":"Gulsah Gumus","family":"Akgun","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tekin","family":"Yasar","sequence":"additional","affiliation":[{"name":"Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2021-egsguidelines"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/bs.pbr.2015.05.001"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(84)34195-1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90149-5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.07.021"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-012-2091-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2016-309556"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2019.2493"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0000000000000043"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogla.2019.05.004"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00171026"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1989.109"},{"key":"e_1_3_2_14_2","first-page":"112","article-title":"Primary glaucomas. 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