AIM: TO observe the efficacy of goniosynechialysis in the treatment of angle closure glaucoma.

METHODS: Totally 82 patients(82 eyes)with angle-closure glaucoma were selected in our hospital from May 2008 to February 2012. The screening conditions were that the lenses were opacity with IOP could be controlled to normal, angle closure ≤1/2 circle and vision ≤0.3.The groups were randomly divided into 2 groups, the first group, in which the phacoemulsification, intraocular lens(IOL)implantations and goniosynechialysis were performed; the second groups, in which phacoemulsification and IOL were performed. IOP, visual acuity, anterior chamber depth and gonioscope findings before and after operation were recorded and analyzed.

RESULTS: On postoperative visual acuity, there were no significant differences between the 2 groups(P<0.05). There was no significant difference in IOP and anterior chamber depth between the 2 groups after operations. In the first group, anterior chamber angle fully opened in 32 cases(78%). In second groups, anterior chamber angle fully opened in 23 cases(56%). The difference between the two groups were statistically significant(P<0.05).

CONCLUSION: Phacoemulsification and IOL implantation combined with goniosynechialysis is an effective treatment for glaucoma surgery. Not only can improve visual acuity, but also can effectively develop the angle, and control intraocular pressure.