Title: Clinical observation on the effect phacoemulsification combined with goniosynechialysis on angle closure glaucoma
Abstract: Objective To observe the efficacy of phacoemulsification combined with goniosynechialysis to treat angle closure glaucoma with cataract. Methods This is a retrospective study. Thirty-five eyes of 34 patients with angle closure glaucoma and cataract were admitted to our hospital from July 2008 to December 2011. Patients underwent goniosynechialysis and phacoemulsification and IOL implantation. Followed up continued for six months. Results The best-corrected visual acuity improved after surgery( t = 3. 951,P 0. 01). The average intraocular pressure at 6 months was 14. 2 ±2. 8 mm Hg,significantly lower than preoperative IOP( t = 3. 228,P 0. 01). Central and peripheral anterior chamber depth significantly increased after the surgery,and peripheral anterior chamber reopened in more quadrants. No malignant glaucoma,rupture of lens capsule or IOP displacement was reported during the follow-up. Conclusion Goniosynechialysis combined with phacoemulsification and IOL implantation can decrease intraocular pressure and improve visual acuity. It's safe and effective for the treatment of angle closure glaucoma complicated with cataract.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
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