Abstract:AIM:To investigate the clinical effect of phacoemulsification combined with goniosynechialysis for patients with cataract and glaucoma.
METHODS: Totally 73 cases(80 eyes)with angle closure glaucoma and cataract were selected from April 2014 to October 2015. All patients were treated with phacoemulsification combined with goniosynechialysis. The visual acuity, intraocular pressure, anterior chamber depth, anterior chamber angle and complications were compared before and after treatment.
RESULTS: Vision: compared with preoperative data, the data at 1wk, 1, 2, 6mo, 1a of postoperative were improved significantly(P<0.05). Intraocular pressure: compared with preoperative data, the data at 1wk, 1, 2, 6mo, 1a of postoperative decreased significantly(P<0.05). After the surgery, the anterior chamber depth were evidently higher than those before the surgery(P<0.05). The angle grading after the surgery were improved remarkably compared with the preoperative ones(P<0.05). There were no serious complications.
CONCLUSION: Phacoemulsification combined with goniosynechialysis is safe and effective for patients with cataract and glaucoma. The surgery increase the depth of the anterior chamber significantly, improve the openness of angle, improve the vision and reduce the intraocular pressure.
