Comparison on the efficacy of two kinds of surgery for the treatment of phacomorphic glaucoma

Abstract

Objective To compare the efficacy of phacoemulsification intraocular lens implantation combined with trabeculectomy or goniosynechialysis for the treatment of phacomorphic glaucoma. Methods The data of 126 eyes of 126 cases of secondary glaucoma with intumescent cataract were collected and analyzed retrospectively. Group A, 63 eyes of 63 patients, underwent phacoemulsification and intraocular lens implantation combined with trabeculectomy; group B, 63 eyes of 63 patients, underwent phacoemulicfication and intraocular lens implantation combined with goniosynechialysis. The efficacy and safety between two groups were compared and analyzed. The follow-up period was 4-12 months. Results The postoperative IOP in both groups were well controlled. The difference was statistically significant between before and after surgery (P 0.05). The central anterior chamber (CAC) after surgery were deeped in two groups. The increase of CAC in group B was higher than that in group A, the difference was statistically significant (P<0.01). The complications after surgery were inflammation, corneal edema, shallow anterior chamber and conjunctival bleb leakage. The incidence of complications in group A was significantly higher than that of group B. Conclusion Phacoemulicfication and intraocular lens implantation combined with goniosynechialysis or trabeculectomy for the treatment of phacomorphic glaucoma are effective surgical approach. However, the combined surgery goniosynechialysis is safer and with less complications. Key words: Cataract, intumescent; Glaucoma, secondary; Phacoemulsification; Goniosynechialysis; Trabeculectomy