Clinical comparison of two surgical methods for primary angle closure glaucoma combined with cataract

Abstract

Objective To evaluate the clinical effects of treatment for primary acute angle closure glaucoma(PACG)combined with cataract with tow different surgical methods.Methods Eighty-six patients (96 eyes)with PACG and cataract were divided imrandomly into observation group(44 eyes)and control group (52eyes).Observation group accepted phacoemulsification intraocular lens implantation and trabeculectomy, control group accepted phacoemulsification and intraoenlar lens implantation.All patients followed up 6～10months postoperative.Results There was no marked difference of the early postoperative visual acuity between the two groups. Follow 6months, because of higher IOP, 5 eyes(observation group)and 8 eyes(control group)complained of decrease of vision, the two groups had no significant difference(P>0.05); Postoperative IOP 0.05). There was no marked difference of complication in two groups after surgery(P>0.05).Conclusion For PACG combined with cataract,and preoperative chamber angles closed<3/4 area, there were no difference between two surgical methods the phacoemulsification intraocular lens im-plantation and trabeculectomy and the phacoemulsification and intraocular lens implantation. Key words: Primary angle-closure glaucoma; Cataract; Phacoemulsification