AIM: To observe the efficacy and safety of the phacoemulsification combined with goniosynechialysis and the phacoemulsification combined with trabeculectomy for angle-closure glaucoma(ACG)with different closure conditions accompanied with cataract.

METHODS: A total of 65 patients(70 eyes)with primary ACG accompanied with cataract were selected from those admitted in our hospital and were given phacoemulsification with goniosynechialysis(group A, 30 patients with 33 eyes)and the phacoemulsification with trabeculectomy(group B, 35 patients with 37 eyes)according to the conditions of the closed anterior angle, respectively. The two groups of patients were observed for preoperative and postoperative intraocular pressure(IOP), vision, anterior chamber depth, and complications, and were followed up for 6.5mo(6-8mo)on average.

RESULTS: Mean postoperative IOP in either group A or group B at 1mo after operation was of statistically significant difference, compared with mean preoperative IOP(P<0.05). Postoperative 1-week vision in each group was of statistically significant difference, compared with preoperative vision(P<0.05). Postoperative 1-month mean anterior chamber depth in each group was of statistically significant difference, compared with preoperative anterior chamber depth(P<0.05). There were no significant differences between the two groups on postoperative 1-month mean anterior chamber depth(P>0.05)and postoperative complications(P>0.05).

CONCLUSION: Clinical doctors can choose appropriate treatment according to different conditions of the closed anterior angle in patients with primary angle-closure glaucoma.