AIM: To discuss the details about the phacoemulsification and intraocular lens implantation combined with goniosynechialysis for the treatment of primary acute angle-closure glaucoma(PAACG).

METHODS: Totally 21 patients(21 eyes)with PAACG from February 2013 to October 2015 were performed phacoemulsification and intraocular lens implantation combined with goniosynechialysis. The details such as incision, circular capsulorhexis, water separation, intraocular lens selection, goniosynechialysis were discussed. The vision, intraocular pressure, complications were observed.

RESULTS: Postoperative intraocular pressure of all patients with were controlled under 21mmHg followed up for 1mo. Visual acuity was improved to some extent. The patients were observed with rapid recovery and fewer complications. There was 1 eye with posterior capsule rupture intraoperatively and 1 eye with decompensated corneal edema postoperatively.

CONCLUSION: It makes this surgery more safe and perfect by disposing the details during operation.