Abstract:AIM:To explore the surgery clinical curative effect and application value of phacoemulsification combined intraocular lens implantation in the treatment of primary angle-closure glaucoma with cataract.
METHODS: Totally 98 patients(130 eyes)with primary angle-closure glaucoma and cataract were divided into observation group and control group by random number method, 65 eyes in each group. Control group were treated with peripheral iris resection surgery, observation group with phacoemulsification combined intraocular lens implantation. Curative effect of two groups were recorded.
RESULTS: Intraocular pressure(IOP)of observation group was 14.11±1.97mmHg at 7d after operations, 14.01±1.65mmHg at 1mo after operations, 14.16±1.45mmHg at 3mo, those of control group were 17.46±2.31mmHg, 17.15±2.27mmHg, 17.03±2.18mmHg, and the differences were significant(P<0.05). Visual acuity and anterior chamber depth of observation group were 0.73±0.11 and 4.58±0.85mm after operations, those of control group were 0.60±0.07 and 4.01±0.51mm, and the differences were significant(P<0.05). The complication incidence of observation group was 4.6%, that of control group was 15.4%, and the differences were significant(P<0.05). Visual field defect of observation group was -19.78±4.65dB, that of control group was -16.13±3.03dB, and the differences were significant(P<0.05).
CONCLUSION: Phacoemulsification combined intraocular lens implantation in the treatment of primary angle-closure glaucoma with cataract is reliable, less postoperative complications, safe, effective and worthy to be promoted.
