Phacoemulsification combined with goniosynechialysis for primary angle closure glaucoma

Objective To observe the clinical therapeutic effects and safety of phacoemulsification combined with goniosynechialysis for primary angle closure glaucoma with cataract. Methods A retrospective study was performed on 58 eyes of 46 cases who suffered from primary angle-closure glaucoma with cataract. All patients were treated with phacoemulsification combined with goniosynechialysis. Intraocular pressure(IOP), medications usage, the best corrected visual acuity(BCVA), central anterior chamber(CAC)depth, anterior chamber angle and postoperative complications were recorded for all patients.The period of follow-up was 6 months. Results Six months after surgery, postoperative IOP were less than the preoperative ones.Postoperatively, the average number of medicine for adjurant therapy was (0.15±0.44), which was less than the preoperative one (0.31±0.76). BCVA of 36 eyes (62.1%) were more than 0.5 after operation which was better than that before operation. Preoperative and postoperative CAC depth were (1.81±0.32) mm and (3.45±0.56) mm respectively. The difference had statistical significance.Peripheral anterior synechiae(PAS) in 9 eyes were cured after operation and stayed unchanged in 10 eyes. Conclusion Combined surgery can not only control IOP and improve BCVA, but also deepen anterior chamber and open anterior chamber angle, which is an effective and safe method for patients suffering from primary angle-closure glaucoma with cataract. Key words: Glaucoma, angle closure, primary; Cataract; Phacoemulsification; Goniosynechialysis