AIM: To discuss the details about the
phacoemulsification and
intraocular lens implantation combined with goniosynechialysis for the
treatment of primary acute
angle-closure glaucoma (PAACG).
METHODS: Totally 21
patients (21
eyes ) with PAACG from February 2013 to October 2015 were performed
phacoemulsification and
intraocular lens implantation combined with goniosynechialysis.The details such as incision, circular
capsulorhexis ,
water separation ,
intraocular lens selection, goniosynechialysis were discussed.The
vision ,
intraocular pressure ,
complications were observed.
RESULTS: Postoperative
intraocular pressure of all
patients with were controlled under 21mmHg followed up for 1mo.
Visual acuity was improved to some extent.The
patients were observed with rapid recovery and fewer
complications .There was 1
eye with posterior
capsule rupture intraoperatively and 1
eye with decompensated
corneal edema postoperatively.
CONCLUSION: It makes this
surgery more safe and perfect by disposing the details during operation.