AIM:To observe the effect of phacoemulsification combined with goniosynechialysis for angle-closure glaucoma and cataract.

METHODS: Fifty-five patients(55 eyes)with angle-closure glaucoma combined with cataract were analyzed retrospectively, including male 25 cases(25 eyes)and female 30 cases(30 eyes), aging from 52 to 82 years old(mean age: 70.6±1.2 years). All patients were treated with phacoemulsification combined with goniosynechialysis. The intraocular pressure, visual acuity, central anterior chamber depth and the change of anterior chamber angle were observed and recorded. The time of following-up was 6 months.

RESULTS:After 6 months' follow-up, the mean postoperative intraocular pressure was 14.3±4.1mmHg, which significantly decreased compared with that of preoperative(22.4±3.1mmHg, P<0.05). The mean postoperative central anterior chamber depth was 3.04±0.34mm, which significantly increased compared with that of preoperative(1.49±0.31mm, P<0.05). Visual acuity was increased in all patients. The range of angle closure ≤180°in 36 patients preoperative were widened postoperative.

CONCLUSION: The treatment of cataract with primary angle-closure glaucoma by phacoemulsification combined with goniosynechialysis is safe and effective.