What is synechiae in the eye?

The term synechiae comes from the Greek synekhes, which means “hold together.” Synechiae are adhesions that may occur anteriorly in which the iris becomes adherent to the trabecular meshwork in the iridocorneal angle (peripheral anterior synechiae, PAS) or occur posteriorly in which the iris adheres to the anterior …

Can synechiae be cured?

For patients with synechiae, cataract surgery can provide many benefits. We can break the adhesions, peel off fibrotic membranes, restore a normal pupil size, remove impediments to aqueous flow, deepen a shallow anterior chamber, and correct the cataract and refractive error.

How is synechiae treated?

Treat inflammation, as necessary. Topical steroids minimize inflammation and, therefore, PAS formation. Cycloplegics should be used to prevent formation of posterior synechiae. Miotics and epinephrine should be avoided because they can increase inflammation.

How common is posterior synechiae?

Posterior synechiae are the most common ocular complications in chronic or recurrent anterior uveitis, occurring in 13–91% of affected eyes.

What does posterior synechiae mean?

posterior synechia adhesion of the iris to the capsule of the lens or to the surface of the vitreous body. total synechia adhesion of the whole surface of the iris to the lens.

Can posterior synechiae be cured?

Posterior synechiae and fibrotic membranes are a cause for concern. without proper treatment, they can lead to pupil block and secondary angle-closure glaucoma. The high doses of steroids suggested here not only decrease inflammation but dissolve fibrin, allowing posterior synechiae to break.

How do you manage posterior synechiae?

If the atropine does not break the posterior synechia, instill a sympathomimetic drug such as phenylephrine 10% in your office at follow-up. Posterior synechiae and fibrotic membranes are a cause for concern. without proper treatment, they can lead to pupil block and secondary angle-closure glaucoma.

How long does it take for uveitis to resolve?

With treatment, uveitis may clear up in as little as 2-5 weeks although depending on the severity, it may take several months to resolve. Early diagnosis and treatment are critical when dealing with uveitis.

How is posterior synechiae treated?

When fibrotic membranes form posterior synechiae, the action of the radial muscle may be insufficient to break the adhesion. In this case, a sympathomimetic drug, such as phenylephrine 10%, should be administered topically in your office at follow-up.

Do you have to break posterior synechiae?

Posterior synechiae can put patients at risk for intraocular hypertension and glaucoma, so it’s best to be aggressive and break synechiae as soon as they form. If not treated quickly and appropriately, a firm scar between the iris and lens will form, making it very difficult to break.

What is synechiae in the nose?

Nasal synechiae or turbinate synechiae is a condition in which there is adhesion of one turbinate to another, to another part of same turbinate, to the lateral wall or less commonly to the nasal septum [1].