Trabeculectomy combined with phacoemulsification and intraocular lens implantation

Objective To evaluate the effect of combined with pliacoemulsification,lens implantation and trabeculectomy for the treatment of angle-closure glaucoma with cataract.Methods 36 patients(48 eyes)with glaucoma and cataract were treated with phacoemulsification,lens implantation and trabeculectomy.The changes of postoperative vision,intraocular pressure,anterior chamber angle fundus and visual field were observed.Follow-up was 6 months. Results postoperative vision,anterior chamber angle were all improved.More degeneration was not found in perimetry.Postoperative intraoculnr pressure were reduced to a mean of(16.02±2.14)mmHg.They were in normal.Shallow anterior chambers were found in short time postoperatively in 23 eyes.Conclusions Combined phacoemulsification lens implantation and trabeculectomy is an effective method for the treatment of angle-closure glaucoma with cataract.