Clinical efficacy of phacoemulsification with trabeculectomy for acute angle-closure glaucoma with age-related cataract

Objective To assess the clinical efficacy of phacoemulsification with trabeculectomy for acute angle-closure glaucoma with age-related cataract. Methods Fifty-four patients( 56 eyes) with acute angle-closure glaucoma and age-related cataract in our hospital from January 2012 to December 2013 were chosen,and according to the surgical methods,the patients were divided into two groups,28 eyes were performed with phacoemulsification with trabeculectomy( group A),when the other 28 eyes were performed with phacoemulsification plus intraocular lens implantation( group B). The preoperative and postoperative visual acuity,intraocular pressure,anterior chamber depth,anterior chamber angle width and complications of patients in two groups were compared. Results The postoperative visual acuity in two groups were all increased,there were statistical differences( all P 0. 05),while there was no statistical difference in postoperative visual acuity between two groups( χ2= 0. 132,P = 0. 716). The preoperative intraocular pressure of group A and B were( 23. 15 ± 2. 47) mm Hg( 1 k Pa = 7. 5 mm Hg) and( 23. 94 ± 3. 07) mm Hg,respectively,while the postoperative intraocular pressure were( 14. 95 ± 1. 86) mm Hg and( 13. 72 ± 2. 41) mmHg,respectively,there was no statistical difference in preoperative intraocular pressure between two groups( t = 1. 061,P = 0. 294),and the differences found between the preoperative and postoperative intraocular pressure of two groups( all P 0. 05),but no difference was found between two groups( t = 1. 910,P = 0. 062). The postoperative anterior chamber depth and angle width were all increased,there were significant differences( all P 0. 001),but no difference was found between two groups( t = 1. 300,0. 924; P = 0. 199,0. 359).There was no statistical difference in complication between two groups( χ2= 4. 383,P = 0. 036). Conclusion Phacoemulsification with trabeculectomy for acute angle-closure glaucoma with age-related cataract has good clinical efficacy with less complications,and can be used as the preferred choice.