Single-Mirror Goniosynechialysis

In this 1-Minute Video, Dr. Arsham Sheybani demonstrates goniosynechialysis using a single mirror. Following cataract removal and injection of a cohesive viscoelastic, the peripheral iris is grasped with a pair of Ahmed microforceps under gonioscopy. The tissue is then pulled centrally until the peripheral anterior synechiae (PAS) are released. Dr. Sheybani cautions against pulling too drastically or reaching too far peripherally into the angle, which can cause iris sphincter trauma and bleeding. Instead, he recommends inducing PAS release with several less forceful grabs.

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