Clinical Effect of Phacoemulsification Combined with Intraocular Lens Implantation on Angle-Closure Glaucoma

Objective To observe the clinical effect of phacoemulsification combined with intraocular lens implantation on angle-closure glaucoma. Methods Sixty-eight patients with angle-closure glaucoma were randomly assigned to receive either compound trabeculectomy(control group, n=34) or phacoemulsification combined with intraocular lens implantation(observation group, n=34). The best corrected visual acuity and intraocular pressure were compared between the two groups before and3 months after operation. In addition,operative complications were observed in both groups. Results No intraoperative posterior capsular rupture and vitreous prolapse and postoperative retinal detachment and corneal decompensation occurred in both groups. After operation, intraocular pressure decreased in both groups,and the decrease in observation was more obvious than that in control group(P0.05). Moreover,the best corrected visual acuity increased after operation.(However, no significant difference in the best corrected visual acuity was found between the two groups(P0.05). Conclusion Phacoemulsification combined with intraocular lens implantation is effective, safe and reliable for improving visual acuity and reducing intraocular pressure in patients with angle-closure glaucoma.