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Abstract #20714 Published in IGR 10-1
Combined phacoemulsification and goniosynechialysis for angle-closure glaucoma complicated with cataract
Huang X-C; Lian LInternational Journal of Ophthalmology 2008; 8: 147-148
AIM: To investigate the clinical effect of phacoemulsification combined with goniosynechialysis in the management of chronic angle-closure glaucoma with cataract, and to observe morphologic changes of chamber angle after the surgery. METHODS: A total of 48 patients (54 eyes) with angle-closure glaucoma and cataract were treated with phacoemulsification combined with goniosynechialysis. The visual acuity, ocular pressure, visual field, central anterior chamber depth and morphology of chamber angle were observed and compared before and after the surgery. RESULTS: Patients were followed up for 3 to 6 months after the surgery. The best corrected visual acuity was improved in 48 of 54 eyes. Anterior chamber depth was deepened in all 54 eyes from (1.612 ± 0.354) mm preoperatively to (3.296 ± 0.243) mm postoperatively. The intraocular pressure of 54 eyes were obviously reduced from preoperative mean of (22.42 ± 3.526) mmHg to postoperative mean of (13.52 ± 3.236) mmHg. The postoperative gonioscopy showed that chamber angle was open at 1 month and 3 months and no synechia was found any more. The visual field of 48 cases was not narrowed at 6 months after the surgery. CONCLUSION: The management of chronic angle-closure glaucoma and cataract by phacoemulsification combined with goniosynechialysis is safe and effective. LA: Chinese
Dr. X.-C. Huang, Department of Ophthalmology, Zhongshan Hospital of Hubei Province, Wuhan 430033 Hubei Province, China. mgxylll@163.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
