Abstract
Objective To evaluate the therapeutic efficacy of phacoemulicfication combined with intraocular lens implantation and goniosychialysis in treating phacomorphic glaucoma.Methods This study evaluated eyes that had phacoemulcification combined with IOL implantation and goniosychialysis to treat phacomorphic glaucoma.Intraocular pressure (IOP),corrected distance visual acuity (CDVA),and anterior chamber depth (ACD) were measured preoperatively and postoperatively.The follow-up was 20-36 months.Results The mean IOP in the 32 eyes was 27.9±7.4mmHg (range 15 to 40 mmHg) preoperatively and 16.4±4.6mmHg (range 10 to 27 mmHg) 20-36 months postoperatively (P ＜0.001,paired t test).Four eyes had a slow increase in IOP over the follow-up; however,responded well to continued treatment with a β-blocker or u-blocker.The postoperative IOP was significantly lower postoperatively (P ＜0.00,paired t test).The improvement in CDVA was significant postoperatively.The CDVA was 0.4 or better in 20 eyes (62.5％).Preoperatively,the ACD was shallow (mean 1.6±0.4mm) because of the swollen lens; the mean postoperative ACD was 2.7±0.2mm; the increase was statistically significant.Conclusions Phacoemulcification with IOL implantation and goniosychialysis is effective in treating phacomorphic glaucoma. Key words: Phacoemulcification; Goniosychialysis; Phacomorphic; Glaucoma
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