Clinical application of phacoemulsification with chamber angle adhesion separation sugery in chronic closure glaucoma with cataract

Objective To observe the treatment effects and anterior chamber angle morphology changes in phacoemulsification and intraocular lens implantation with anterior chamber angle Adhesion separation in chronic closure angle glaucoma.Methods Phacoemulsification combined chamber angle Adhesion separation,61 patients(73 eyes),their visual acuity before and after surgery,intraocular pressure,visual field,central anterior chamber depth,chamber angle morphology,All patients were followed up 6 to 11 months.Results 61 patients(73 eyes) in 69 visual acuity significantly improved(P0.05).73 eyes were deepened after the central anterior chamber depth,anterior chamber depth(1.572 ± 0.314) mm,anterior chamber depth(3.186 ± 0.217) mm(P0.05).66 eyes were significantly lower intraocular pressure,preoperative IOP(22.42 ± 3.53) mm Hg,postoperative IOP(13.52 ± 3.24) mm Hg(P0.05).gonioscopy examination 2 months after opening a 71 angle,6 months after gonioscopy angle again found no adhesions,64 patients in June reviewed no narrow view.Conclusion The phacoemulsification intraocular lens implantation angle than adhesion dissection can reduce intraocular pressure,improve eyesight,is angle-closure glaucoma and cataract patients at the same time safe and effective therapeutic approach.