AIM: To compare the effects of different surgeries in the treatment of angle closure glaucoma with cataract and the improvement of quality of life.

METHODS: The clinical data of 60 cases(60 eyes)with angle closure glaucoma and cataract who were admitted to the hospital between January 2014 and October 2016 were collected. According to the surgical method, they were divided into the control group(simple trabeculectomy, n=28)and the observation group(trabeculectomy combined with phacoemulsification and intraocular lens implantation, n=32). The changes of visual acuity and intraocular pressure before and after surgery were compared between the two groups. The incidence of postoperative complications was statistically analyzed, and the quality of life was compared between the two groups.

RESULTS: Before surgery, there was no significant difference in visual acuity, intraocular pressure and anterior chamber depth between the two groups(P>0.05). At 4wk after surgery, the visual acuity of two groups increased and intraocular pressure decreased. The anterior chamber depth of observation group increased while that of the control group decreased(P<0.05). At 4wk after surgery, the visual acuity and anterior chamber depth of observation group were higher than that of the control group but intraocular pressure was lower than that of control group(P<0.05). The success rate of surgery and the opening rate of chamber angle after surgery in the observation group were higher than those in the control group(P>0.05). The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05). Before surgery, there was no statistically significant difference in quality of life score between the two groups(P>0.05). At 4wk and 3mo after surgery, the scores of the two groups increased(P<0.05), and the quality of life scores of observation group were higher than those of the control group at different time(P< 0.05).

CONCLUSION: The success rate of trabeculectomy combined with phacoemulsification and intraocular lens implantation is high in the treatment of angle closure glaucoma with cataract. The regimen can improve the visual function, reduce the incidence of postoperative complications, and improve the quality of life of patients.