Comparison of the treatment for acute primary angle-closure glaucoma:phacoemulsification versus trabeculectomy.

Objective To compare the effect of phacoemulsification with posterior chamber intraocular lens implantation and trabeculectomy for the treatment of acute primary angle-closure glaucoma.?Methods 58 cases(58 eyes) of acute primary angle-closure glaucoma with cataract were randomly divided into 2 groups(29 eyes in each group),patients in group A received phacoemulsification with posterior chamber intraocular lens implantation,those in group B received trabeculectomy,they were followed up for 3-6 months,visual acuity,IOP and anterior chamber depth were recorded to evaluate their clinical effect.?Results During the follow-up period,visual acuity improved in both groups,and it was increased more significantly in group A.Mean of chamber depth was increased in group A and reduced in group B postoperatively.The incidence of shallow anterior chamber in group B was 5/29.IOP was reduced significantly in both groups,and during the early post-operative period,IOP was reduced more significantly in group B.?Conclusion Phacoemulsification with posterior chamber intraocular lens implantation can reduce IOP and improve visual acuity effectively with less postoperative complications,it is a good alternative for acute primary angle-closure glaucoma with cataract.