AIM: To observe the clinical effect of phacoemulsification combined with goniosynechialysis in the treatment of primary acute angle-closure glaucoma with cataract.

METHODS: A retrospective analysis included of 34 cases(42 eyes)diagnosed as primary angle-closure glaucoma with cataract in our hospital. The patients were treated with phacoemulsification combined with goniosynechialysis and intraocular lens implantation. Preoperative and postoperative visual acuities, intraocular pressure(IOP), chamber angle changes and complications were recorded with following-up for 3mo～1a. The clinical effect was compared between before and after treatment.

RESULTS: Best corrected visual acuity was improved in 36 eyes(86%)after operation. The IOP of 2 eyes was above 25mmHg after operation 1wk, and the rest was controlled in 11～20mmHg, the average level(14.6±5.7)mmHg. There were statistical differences at pre- and post-operation(P<0.05). The postoperative cases of the anterior chamber angle closure of more than 180° were significantly lower than that of the preoperative(P<0.05).

CONCLUSION: Phacoemulsification combined with multiple goniosynechialysis in the treatment of angle-closure glaucoma patients with cataract is safe, convenient, and effective. It can significantly open anterior chamber angle, reduce IOP, and improve visual acuity.