Phacoemulsification combined with goniosynechialysis for primary angle-closure glaucoma with cataract

Objective To study the efficacy and safety of phacoemulsification combined with goniosynechialysis for primary angle-closure glaucoma with cataract.Methods The 54 eyes of primary angle-closure glaucoma with cataract were treated with phacoemulsification combined with goniosynechialysis . The main outcome measures were pre-operation and post-operation change of anterior chamber angle,depth of anterior chamber ,visual field and intraocular pressure,coefficient of outflow (C),PO/C. The mean follow-up duration was 16.5 months. Results The mean intraocular pressure was reduced from 52.87±9.86mmHg of preoperation to 12.19±3.96 mmHg of postoperation (P0.05).The anterior chamber angles of 46 eyes were open. The mean anterior chamber depth was 1.62±0.26mm preoperatively and deepened average 1.21±0.14mm. The visual fields of 54 eyes had no depression.The mean C was 0.098±0.005 of preoperation to 0.201±0.03 of postoperation. The mean PO/C was 127.32±6.01 of preoperation to 89.3±4.87 of postoperation.Conclusion Phacoemulsification combined with goniosynechialysis is an effective and safe surgical procedure for treating primary angle-closure glaucoma with cataract.