Observation of phacoemulsification combined with intraocular lens implantation on the treatment of acute angle-closure glaucoma

AIM:To analyze and discuss the effect of phacoemulsification combined with intraocular lens implantation on the treatment of acute angle-closure glaucoma. METHODS:Eighty patients with angle-closure glaucoma in our hospital were selected. The therapeutic plans were determined by the patients and the clinical symptoms. They were divided into observation group(n=40)and control group(n=40). Patients in observation group were treated by micro incision phacoemulsification combined with intraocular lens implantation(blue light filtering aspheric intraoeular lens-AcrySof IQ IOL). Patients in control group were treated by compound trabeculectomy. RESULTS:The visual acuity of observation group was 0.71±0.17 after treatments, intraocular pressure(IOP)was 9.98±3.23mmHg. Visual acuity of the control group was 0.46±0.16, IOP was 14.1±3.83mmHg. Visual acuity and IOP of observation group were statistically significant than those of control group(t=6.77,5.21 respectively, P<0.05).The postoperative complication rate was 8% in observation group, the control group was 12%. All patients recovered well after treatments for the complications. The difference of complication rate between the two groups was not statistically significant(P>0.05). CONCLUSION:Phacoemulsification combined with intraocular lens implantation is effective on the treatment of acute angle-closure glaucoma, and does not increase the complication risk, which deserves clinical promotion.