Preliminary Clinical Study On The Management Of Acute Angle Closure Glaucoma By Extracapsular Cataract Extraction For Cataract Surgery Combined With Goniosynechialysis

ObjectiveTo investigate the clinical effect of extracapsular cataract extraction combined with goniosynechialysis in the management of acute angle closure glaucoma with cataract.Methods84 patients (88 eyes) were treated with extracapsular cataract extraction combined with goniosynechialysis. The anterior chamber depth, visual acuity,configuration of chamber anger,and intraocular pressure were observed.ResultsAfter a mean postoperative follow up of 3～6 months, the best corrected visual acuity was improved in 69 of 71 eyes. The mean anterior chamber depth was 1.673±0.476mm preoperatively and 3.414±0.167mm postoperatively (t=6.743, P<0.001). The intraocular pressure was reduced from a pre-operative mean of 28.437±3.321mmHg to a postoperative mean of 13.981±5.173mmHg, (t=5.263, P<0.001). The gonioscopy done three months after operation showed that angles of the anterior chamber in all 84patients opened.60 patients (62 eyes) did not show significant visual field change six motnes after operation.ConclusionsThe management of acute angle closure glaucoma by extracapsular cataract extraction combined with lysis of the synechiae is safe and effective.