声乳化联合房角分离术治疗急性闭角型青光眼合并白内障.

Objective To evaluate the clinical curative effect of phacoemulsification combined with goniosynechialysis for treating acute angle-closure glaucoma with cataract. Methods This retrospective study was performed to collect a total of 38 eyes of 38 patients with acute angle-closure glaucoma and cataract who underwent phacoemulsification combined with goniosynechialysis in the Fourth Affiliated Hospital of Kunming Medical University from January 2018 to June 2018. The change of intraocular pressure（IOP），the best corrected visual acuity（BCVA），central anterior chamber，peripheral anterior chamber（PAC）and the change of anterior chamber angle were followed up of 12 to 24 months. Results Preoperative intraocular pressure（IOP）were from 8.3 mmHg to 32 mmHg，and mean IOP was（17.67±4.76）mmHg，the first day after operation and the last follow-up of mean IOP was（13.63±5.82）mmHg and（12.25±4.54）mmHg. The IOP was obviously decreased after operation. The BCVA was significantly improved after operation. The central anterior chamber depth of preoperative patients was（1.42±0.34）mm. After surgery，the central anterior chamber depth was（3.41±0.13）mm，the central anterior chamber was significantly deeper than preoperative.The peripheral anterior chamber depth of all patients with preoperative was <1/2CT，and it deepened after operation，there were 29 eyes whose peripheral anterior chamber depth was more than lCT. There were 22 eyes whose preoperative angle-closure range >180°，they were partly opened after operation，and there were 25eyes whose anterior chamber angle were fully opened after operation. 4 eyes were implanted in tension ring during operation. After operation，5 eyes had slight corneal edema，3 cases of patients with anterior chamber exudative，they all get better after treatment. Conclusion Phacoemulsification combined with goniosynechialysis is safe and effective，but the choice of operation should be fully considered. [ABSTRACT FROM AUTHOR]