Phacoemulsification combined with goniosynechialysis treating cataract with acute angle-closure glaucoma

AIM: To analyze the clinical effect and security of phacoemulsification combining goniosynechialysis to treat cataract accompanied with acute angle-closure glaucoma. METHODS: The clinical data of totally 45 patients(48 eyes)with cataract and acute angle-closure glaucoma was retrospectively analyzed, including 28 patients(30 eyes)treated with phacoemulsification with goniosynechialysis(the study group)and 17 patients(18 eyes)treated with phacoemulsification with trabeculectomy(the control group). The visual acuity, intraocular pressure, iridocornealis, central anterior chamber depth and complications were compared between groups. RESULTS: Before surgery, there was no significant difference in best corrected visual acuity and iridocornealis angle between groups(P>0.05). At 7d, 1mo, 3mo, 6mo and 1a after surgery, the best corrected visual acuity of both groups increased, and the study group was higher than the control group; the iridocornealis angle close degree of both groups decreased, and the study group was lower than the control group(P0.05), the control group after 12mo was lower than that at 7d after surgery(P0.05); at 1a after surgery, IOP of the study group was lower than the control(P0.05); at 3, 6mo and 1a after surgery, the study group was higher than the control group(P