Analysis on effects of triple surgery for chronic angle-closure glaucoma

AIM: To investigate the clinical efficacy of trabeculectomy combined with phacoemulsification and intraocular lens implantation for the treatment of primary chronic angle-closure glaucoma. METHODS: A retrospective analysis was performed on 65 patients(70 eyes)with chronic angle-closure glaucoma and varying degrees of lens opacity admitted to our hospital ophthalmology from February 2011 to February 2012. Patients underwent trabeculectomy combined phacoemulsification and intraocular lens implantation. And after that patients were followed-up for at least 6 months. Postoperative visual acuity, intraocular pressure(IOP), and bleb complications were compared and analyzed. RESULTS: According to the international standard eye chart check, after 3 months follow-up, visual acuity improved 1 line accounted for 80%(56/70); After 6 months follow-up, after vision correction the vision acuity that improved 1 line accounted for 93%(65/70); after 6 months of follow-up, IOP<21mmHg, accounted for 89%(62/70); functional blebs accounted for 89%(62/70), fewer postoperative complications. CONCLUSION:Trabeculectomy combined with phacoemulsification and intraocular lens implantation in the treatment of primary chronic angle-closure glaucoma is a safe and effective surgery method and it has a good visual recovery, IOP decrease, and fewer complications.