Clinical analysis of combined phacoemulsification with goniosynechialysis in the therapy of cataract complica- ting angle closure glaucoma

Objective To discuss the effect of phacoemulsification combining/non-combining goniosynechialys in the therapy of cataract complicating angle closure glaucoma.Methods 31 patients (33 eyes) were randomly divided into two groups.Phacoemulsification with folding intraocular lens implantation was performed in group A and phacoemulsifica- tion with folding intraocular lens implantation combining goniosynechialys was performed in group B.The intraocular pres- sure,the types of drug to lower the intraocular pressure and the closure scope of goniosynechia were oberserved.The mean follow up was 20 months.Results The intraecular pressure was reduced (1.92±1.65) mm Hg in group A and (3.64± 2.64) mm Hg in group B.There was significantly difference between the two group (t=2.206,P0.05).The types of drugs to reduce the intraocular pressure decreased 1.50±1.03 in group and 1.63±1.02 in group B,there was on differ- ence between the two groups(t=0.344,P0.05).The best corrected visual acuity above 0.5 was 81.2% in group A and 93.8% in group B (χ~2=0.286,P0.05 ).The anterior chamber were completed reopened in62.5% of the patients in group B,while 0 in group A.There was significantly difference between the two group (χ~2=11.782,P0.005 ).Con- clusion Phacoemulsification combining/non-combining goniosynechialys are both the effective surgery in the therapy of cataract complicating angle closure glaucoma.While,phacoemulsification combining goniosynechialys performs better than the other,with lower intraocular pressure and more anterior chamber reopened.