AIM: To investigate the clinical effects and safety of phacoemulsification combined with different glaucoma surgical procedures for primary angle-closure glaucoma(PACG)coexisted with cataract.

METHODS: Thirty-four cases(47 eyes)with PACG coexisted with cataract were divided into group A and group B. Group A was defined as the closed angle of anterior chamber was less than 180°and was treated with phacoemulsification combined with goniosynechialysis. Group B as the closed angle was more than 180° was treated with phacoemulsification combined with trabeculectomy. The follow-up period was 6mo. Postoperative best corrected visual acuity(BCVA), intraocular pressure(IOP), anterior chamber depth(ACD), filtration bleb and complications were observed.

RESULTS: The IOPs were 14.37±4.83 and 15.86±3.74mm Hg at final follow-up in group A and B respectively, which were significantly decreased compared with pre-surgery(P<0.01). Similarly, the ACDs were 3.53±0.37 and 3.63±0.35mm in group A and B respectively, both deeper than those of pre-surgery(P<0.01). There was no statistically significant difference of IOP or ACD between group A and B. The median BCVAs were 0.6 and 0.5 respectively, increased markedly than those of pre-surgery. There were no serious complications.

CONCLUSION: Phacoemulsification combined with anti-glaucoma surgery can get stable control on IOP, improve visual acuity,decrease the complication risk and is safe and effective.