Clinical observation of the combination of phacoemulsification and giniosynechialysis

Objective To evaluate the therapeutic effects of combined phacoemulsification and goniosynechialysis surgery with intraocularlens implantation. Methods 47 cases (61eyes) of primary angle-closure glaucoma (PACG) combined cataract were retrospectively studied from January 2002 to January 2004, including 37 eyes with range of closed-angle≤ 180°, 24 eyes with which 180°. All the cases had cataract in different degrees. Combined phacoemulsification with corneal incision and goniosynechialysis surgery with intraocular lens implantation was performed on the eyes. Results In the last follow-up, the mean postoperative IOP of 47 cases (14.79±4.16) mmHg (1 mmHg=0.133 kPa) was significantly decreased compared to preoperative IOP (24.08±3.23 )mmHg (t=13.86, P0.001). The corrected visual acuity of postoperation in the cases were improved. The central anterior chamber depth was (2.02±0.31) mm preoperatively and (2.91±0.28) mm postoperatively (t=17.92, P0.001). All the chamber angles of postoperation were wider than that of preoperation. Conclusions Phacoemulsification with intraocular lens implantation and goniosynechialysis can control IOP well, improve vision rapidly.