AIM: To investigate the clinical effect of manual small incision cataract extraction with intraocular lens(IOL)implantation and goniosynechialysis for acute angle-closure glaucoma.

METHODS: Manual small incision cataract extraction with IOL implantation andgoniosynechialysis was performed on 48 cases(48)eyes diagnosed with acute angle closure glaucoma and cataract. The best-corrected visual acuity(BCVA), intraocular pressure(IOP), anterior chamber depth(ACD)and anterior chamber angle width were measured and recorded preoperatively, 1 day,1 week,1 month and 3 months postoperatively.

RESULTS: The BCVA was significantly better after surgery(P<0.001). The mean IOP decreased significantly after surgery(P<0.05), ACD and anterior chamber angle width increased significantly(P<0.05).

CONCLUSION: The method of manual small incision cataract extraction with IOL implantation and goniosynechialysis is a good alternative for treating acute angle-closure glaucoma with cataract.