Effect Of Phacoemulsification And Goniosynechialysis In Acute Angle-closure Glaucoma And Co-existing Cataract Patients

Objective：To analyse the clinical outcomes and safety of phacoemulsificationcombined with intraocular lens implantion and goniosynechialysis in eyes with acuteprimary angle-closure glaucoma and co-existing cataract．Methods：The retrospective study included47patients(54eyes)，from September2008to December2011in our hospital patients with acute primary angle-closureglaucoma and co-existing cataract and data integrity；including13men(15eyes)，34women (39eyes)．The age was56to83years，the mean age68.2±6.9years．54eyes of47patients with acute primary angle-closure glaucoma and co-existingcataract were treated by phacoemulsification combined with intraocular lensimplantion and goniosynechialysis after reducing intraocular pressure(IOP)．Weobserved visual acuity，IOP，anterior chamber depth(ACD)，limbal chamber depth(LCD)，anterior chamber angle and complications after1to12months of follow-up，the mean follow-up of7.23±3.56months．Results: Postoperatively，the best corrected visual acuity was obviously improved in54eyes(Z=6.244， P＜0.05)． Mean preoperative IOP after reducing IOP was18.94±5.10mmHg and mean postoperative IOP was11.81±3.22mmHg(t=11.896，P＜0.05)．Mean preoperative ACD was1.83±0.29mm and mean postoperative ACDwas3.53±0.43mm (t=27.750，P＜0.05)．The postoperative LCD was deeper thanthe preoperative LCD(Z=9.703，P＜0.05)．The postoperative anterior chamber anglewas open to varying degrees(Z=9.187，P＜0.05)．Conclusion：Phacoemulsification combined with intraocular lens implantion andgoniosynechialysis in eyes with acute primary angle-closure glaucoma andco-existing cataract is beneficial to visual acuity，IOP，ACD and anterior chamberangle. Clincally, the management is effective and safe．...