Efficacy comparation of different ways of surgery in patients with acute angle-closure glaucoma combined with cataract

Objective To explore the efficacy of different ways of surgery in patients with acute angle-closure glaucoma combined with cataract.Methods According to the level of the anterior chamber angle closure,60cases(60 eyes) of patients with acute angle-closure glaucoma and cataract were divided into three groups:patients with opened angle(which were performed the phacoemulsification and intraocular lens implantation surgery),the patients whose goniosynechia was less than 180°(which were performed the surgery of phacoemulsification and intraocular lens implantation combined with goniosychialysis),and the patients whose goniosynechia was more than 180°(which were perfomed the phacoemulsification and intraocular lens implantation combined with trabeculectomy).The visual acuity,central anterior chamber depth,intraocular pressure and complications after the surgery in the three groups were observed.Results After treatment,all patients' goniosynechia were re-opened.The visual acuity,central anterior chamber depth and intraocular pressure were all better than those before the treatment(P0.05).There was no statistically significant difference in the incidence of complications in the three groups after the treatment(P0.05).Conclusion The surgery of phacoemulsification,intraocular lens implantation combined with goniosychialysis or trabeculectomy can improve the visual acuity,central anterior chamber depth and intraocular pressure,which is safe and reliable.The degree of angle closure should be analyzed for the treatment of patients with acute angle-closure glaucoma and cataract.