All patients were managed by a single protocol initially. Detailed laser and surgical procedures are described in Table 1. First, we administered medical treatment for IOP control, including topical brimonidine and fixed combination of timolol/dorzolamide, and systemic hyperosmotic agents (intravenous mannitol, 1 mg/kg). Laser peripheral iridotomy was performed for all patients as soon as the cornea permitted good visualization. Lens extraction was as performed in case of uncontrolled IOP (IOP > 25mmHg) and significant residual appositional angle closure (> 180 degree) despite the patient PI and using > 3 topical eyedrops. Trabeculectomy was performed in cases of uncontrolled IOP due to significant PAS (> 270 degree) or