Clinical Effects of Phacoemulsification Combined with Goniosynechialysis in the Treatment of Angle-Closure Glaucoma with Cataract
Objective:To observe the clinical outcome of cataract ultrasonic emulsification aspiration(Phaco)combined with atrial angle segmentation(GSL)in the treatment of patients with primary angle-closure glaucoma(PACG)combined with cataract.Method:One hundred patients with primary angle-closure glaucoma(PACG)and cataract admitted to Ji'nan Mingshui Hospital Department of Ophthalmology from May 2021 to December 2023 were selected as the study objects and randomly divided into a control group and an observation group,with 40 cases in each group.The control group was treated with Phaco combined with trabeculectomy(Trab),while the observation group was treated with Phaco combined with GSL.Therapeutic effects,central anterior chamber depth(ACD),corneal endothelial cell density(ECD),chamber angle status,and the incidence of complications were compared between the two groups.Result:One month after surgery,the best corrected visual acuity(BCVA),intraocular pressure(IOP),and peripheral pre-iris adhesion(PAS)were reduced in both groups,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).One month after surgery,ACD was higher and ECD was lower in both groups than before treatment,and ACD and ECD in the observation group than those in the control group,and the difference was statistically significant(P<0.05).One month after surgery,the proportion of wide atrial angle in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the control group was higher than that of the observation group,and the difference was statistically significant(P<0.05).Conclusion:Phaco combined with GSL can effectively improve BCVA,IOP,PAS,ACD and Angle status of patients with PACG and cataract,and has less damage to cornea and lower risk of complications.
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