Phacoemulsification combined with goniosynechialysis for glaucoma with cataract

AIM:To observe the clinical efficacy of phacoemulsification combined with goniosynechialysis for chronic angle-closure glaucoma with cataract. METHODS:Fifty eyes in 50 patients with chronic angle-closure glaucoma and cataract, but without complications underwent phacoemulsification and intraocular lens(IOL)implantation, combined with goniosynechialysis. All patients were followed up for 3mo. The best corrected visual acuity(BCVA), intraocular pressure(IOP), anterior chamber depth and angle were recorded and compared between pre-operation and post-operation. The results were showed by means plus or subtracting deviation standard. The BCVA, IOP, anterior chamber depth and angle were analysed by t test. RESULTS:The best corrected visual acuity at 3mo after operations was significantly higher than that before operations(t=8.76, P=0.001). The IOP at 3mo after operations was 15.63±3.11mmHg and was significantly lower than that(45.12±5.30mmHg)before operations(t=6.27, P=0.000). The anterior chamber depth at 3mo after operations was 3.57±0.02mm, and was significantly deeper than that(1.43±0.25mm)before operations(t=8.16, P=0.001). Compared with preoperative anterior chamber angle, those after operations were wider(Z=-4.432,P=0.000; Z=-2.432,P=0.016; Z=-4.379,P=0.000; Z=-4.538,P=0.000).CONCLUSION:Phacoemulsification combined with goniosynechialysis is safe and effective for chronic angle-closure glaucoma with cataract, which can control IOP and improve the visual acuity.