Surgical treatment for the primary angle-closure glaucoma with continuous high intraocular pressure

Objective To evaluate the clinical effect of trabeculectomy for primary angle-closure glaucoma with continuous high intraocular pressure(IOP).Methods Trabeculectomy with anterior chamber puncture was performed on 52 cases (57eyes) with angle-closure glaucoma under high IOP.The visual acuities and IOPs were observed from one week to one year postoperation.Results There were no complications of epichoroidal hemorrhage or malignant glaucoma happened in all cases after trabeculectomy. The vision acuity 12 months after operation was less than 0.1 in 17 eyes,0.1～0.3 in 20 eyes and more than 0.3 in 20 eyes.The postoperative IOP was 10～21 mm Hg in 50 eyes.Seven eyes needed additional medical treatment.The successful rate was 87.7%.Conclusions Trabeculectomy with anterior chamber puncture is safe and effective for the treatment of primary angle-closure glaucoma with continuous high IOP.