AIM: To study the clinical effect of goniosynechialysis assisting the treatment of angle closure glaucoma with cataract.

METHODS: A total of 68 consecutive patients diagnosed as angle closure glaucoma combined with cataract from February 2012 to February 2014 were divided randomly into experiment and control groups, each with 34 cases. The patients in control group received glaucoma-cataract combined operation, and the patients in experiment group received phacoemulsification assisted by goniosynechialysis. Then the clinical effect and complications of the two groups were compared.

RESULTS: The visual acuity and intraocular pressure(IOP)before treatments in the two groups were not statistically different(P>0.05). The visual acuity was higher and IOP were lower in the two groups after treatments and in experiment group they were more significantly improved than those of control group(P<0.05). The central anterior chamber depth and chamber angle width before treatments in the two groups were not statistically different(P>0.05). They were both higher in the two groups after treatments and in experiment group they were more significantly improved than those of control group(P<0.05). The complications, including corneal swelling, shallow anterior chamber, iris fibrous exudation, conjunctival bleb leakage and secondary cataract in experiment group was significantly less(P<0.05).

CONCLUSION: The goniosynechialysis assisting the treatment of angle closure glaucoma with cataract is effective, safe with less complication, which deserves promotion.