The clinical effect of cataract phacoemulsification and intraocular lens implantation joint with angle separation operation for treating angle-closure glaucoma
Objective To observe the clinical effect of cataract phacoemulsificotion and intraocular lens implantation joint with primary angle separation operation for treating angle-closure glaucoma complicated with cataract. Methods From June 2008 to June 2010 in our hospital there were 33 patients (39 eyes) with surgical treatment for primary angle-closure glaucoma complicated with cataract, in which there were 15 Male cases (18 eyes) and 18 female cases (21 eyes). The age was from 59 to 83 and the average age was (75.63±3.05) years old. All were performed by the same surgery physicians with a transparent corneal incision, and phacoemulsification chamber intraocular lens implantation in bursa bag corner separation operation was performed. In the preoperative and postoperative the depth of visual acuity, best corrected visual acuity, intraocular pressure (IOP), anterior chamber angle, and the peripheral anterior chamber changed, and the postoperative complications were analyzed. Follow-up continued for 6 to 12 months. Results After operation and in the follow-up period all eyes'intraocular pressure were significantly reduced, peripheral anterior chamber depth significantly increased, 29 eyes' (74%) comer were completely open and 36 eyes' (92. 31 % )best corrected visual acuity were improved. Conclusions cataract phacoemulsification and intraocular lens implantation joint with primary angle separation operation for treating angle-closure glaucoma complicated with cataract can effectively decrease intraocular pressure, improve eyesight and open the corner. It is a safe and effective way.
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