Clinical study on the management of angle-closure glaucoma by phacoemulsification

Objective To study the clinical results of phacoemulsification with solid posterior chamber intraocular lens implantation in the management of angle-closure glaucoma with cataract. Methods Phacoemulsification with PC-IOL implantation was performed on 26 eyes (25cases) with angle-closure glaucoma and cataract was retrospectively studied,including 14 eyes with primary acute angle-closure glaucoma,7 eyes with primary chronic angle-closure glaucoma,5 eyes with secondary acute angle-closure glaucoma. Results After a mean postoperative follow-up of (9.40±3.20) months,the intraocular pressure was reduced from a preoperative mean of (18.36±3.23)mmHg to a postoperative mean of(10.28±2.48) mmHg(P0.05).The mean anterior chamber depth was (1.56±0.45) mm preoperatively and (2.23±0.34) mm postoperatively(P0.05).The best corrected visual acuity was improved in 22 of 26 eyes(84.60%). Conclusion Phacoemulsification with posterior chamber solid intraocular lens implantation can be a good alternative in treating angle-closure glaucoma with cataract.