关键词: 白内障超声乳化摘除术, 房角分离术, 青光眼, 白内障

Abstract: Objective To study clinical effect of phacoemulsification and goniosychialysis for angle-closure glaucoma with cataract. Methods 226 eyes of 161 patients were undergone phacoemulsification and IOL implantation, combined with goniosychialysis. The main outcome measures were pre-operation and post-operation change of anterior chamber angle, depth of anterior chamber, visual field and intraocular pressure. 186 eyes were followed up within 3 years, 40 eyes over 3 years. Results The intraocular pressure of 1 eye raised again. The management of trabeculectomy could not control the IOP, after silicon tuber implantation the pressure was controlled. The anterior chamber angles of all patients were open, the depth of central anterior chamber deepened average 1.1 mm, the depth of peripheral anterior chamber average 0.2 mm. The visual fields of 215 eyes had no depression except for 1 eye with raised intraocular pressure. Conclusion Phacoemulsification combined with goniosychialysis is an effective surgery for angle-closure glaucoma except for inflammative glaucoma, the concrete indication of the surgery should be explored further.

Key words: phacoemulsification, goniosychialysis, glaucoma:cataract