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AIM: To investigate the changes of anterior chamber angle after phacoemulsification plus intraocular lens implantation and combined with goniosynechialysis for primary angle-closure glaucoma and cataract. METHODS: Thirty-five cases(37 eyes) of primary angle-closure glaucoma and cataractm, which include 16 eyes with a range of closed-angle ≤180° and 21 eyes >180°, treated with phacoemulsification and IOL implantation combined with goniosynechialysis. Intraocular pressure, anterior chamber angle and visual acuity in the eyes before and after the surgery were observed and compared. RESULTS: In the following up for 3-24 months, all the chamber angles of postoperation were wider than that of preoperation, the mean postoperative IOP (14.3 ±4.1) mmHg was significantly decreased compared to preoperative IOP (26.4 ±3.2) mmHg (t = 5.86, P <0.01). The mean central anterior chamber depth was (2.0 ±0.3) mm, preoperatively and (3.2 ±0.4) mm postoperatively, the corrected visual acuity of postoperation were improved except 2 eyes which with optic atrophy. CONCLUSION: The combined procedure of phacotrabculectomy with IOL implantation is a safe surgery method with few surgery complications and good visual outcomes for patients who have glaucoma and cataract. LA: Chinese
Dr. L.-H. Jiang. Department of Opthalmology, Shidong Hospital, Yangpu District, Shanghai 200438, China. Pick_2000@sina.com
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)