Phacoemulsification combined with goniosynechialysis in the management of chronic primary angle-closure glaucoma

AIM: To investigate the clinical effects of phacoemulsification combined with goniosynechialysis in the management of chronic primary angle-closure glaucoma(CPACG). METHODS:Totally 57 cases(57 eyes)with CPACG and cataract were treated with phacoemulsification combined with goniosynechialysis. Intraocular pressure(IOP), anterior chamber angle, best-corrected visual acuity and central anterior chamber depth were monitored during follow-up for 8-15 months in these eyes. RESULTS: The IOPs of 52 eyes were normal without any medications. The IOPs of 4 eyes were normal with a single antiglaucomatous eye drops. The IOP of 1 eye was normal with two kinds of antiglaucomatous eye drops. The anterior chamber angles became wider and the synechial angle closure were reopened after surgery in all eyes. The best-corrected visual acuity were improved except 1eye with optic atrophy. The postoperative central anterior chamber depth became deep. CONCLUSION: Phacoemulsification combined with goniosynechialysis is able to safely effectively control IOP and also improve the visual acuity of CPACG.