Clinical efficacy of lens trabeculectomy combined with phacoemulsification in the treatment of angle-closure glaucoma with cataract

Abstract

Objective To explore the clinical efficacy of trabeculectomy combined with phacoemulsification in the treatment of angle-closure glaucoma with cataract.Methods 56 cases of angle-closure glaucoma with cataract were selected in department of ophthalmology and were received trabeculectomy combined with phacoemulsification.Preoperative and postoperative visual acuity,intraocular pressure,anterior chamber angle,anterior chamber depth,filtering bleb and complications were observed.Results Six months after operation,53 (94.64％) were improved in visual acuity.There was significant difference between preoperative and postoperative visual acuity( Z =-5.074,P ＜0.05).IOP was( 15.26 ± 3.37 )mm Hg 6 months after operation,which was significant lower than(34.60 ± 3.85 ) mm Hg before operation( t =28.29,P ＜0.05 ).The anterior chamber depth was( 3.27 ± 0.64 ) mm 6 months after operation,which was significant larger than( 1.58 ± 0.39 )mm before operation (t =16.90,P ＜ 0.05 ).All patients had bleb formation with no serious complications.Conclusion Trabeculectomy combined with phacoemulsification was effective in treating angle-closure glaucoma and cataract. Key words: Glaucoma, angle-closure; Cataract; Trabeculectomy; Phacoemulsification