Infection postoperative intraocular pressure anterior chamber depth on the treatment of angle-closure glaucoma by phacoemulsification and intraocular lens implantation

Objective To evaluate the clinical effect of phacoemulsification posterior chamber foldable intraocular lens implantation or combined with trabeculectmoy in the treatment of angle-closure glaucoma combined with cataract.To observation the variation of postoperative visual acuity intraocular pressure anterior chamber depth.Methods Retrospective study was conducted in 27 patients (30 eyes)with angle-closure glaucoma and cataract.After taking integrative drugs for reducing intraocular pressure for 3～4 days,21 eyes with intraocular pressure under 25 mm Hg accepted phacoemulsifica- tion posterior chamber foldable intraocular lens implantation,9 eyes with intraocular pressure over 25 mm Hg accepted phac- oemulsifieafion posterior chamber foldable intraocular lens implantation combined with antimetabolite and trabeculectmoy. All patients followed up 3～6 months.Results There were no severe complications occurred in the preoperative and post- operative.All the postoperative visual acuities were improved.All the intraocular pressures were under the control.The in- traocular pressure was reduced from a preoperative mean of 20.28 mm Hg to a postoperative mean of 11.17 mm Hg.The mean central anterior chamber depth was 2.14 mm preoperatively and 3.43 mm postoperatively.There were significant differences between the preoperative and postoperative in the intraocular pressure and the central anterior chamber depth. All the postoperative anterior chamber angle were opened more than 180°.Conclusion Phacocmulsification posterior chamber foldable intraocular lens implantation or combined with trabeculectmoy is an effective treatment method for angle- closure glaucoma combined with cataract.