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《Shanghai Medical Journal》 2007-01
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Clinical observations on phacoemulsification plus foldable IOL implantation for chronic angle-closure glaucoma with cataract

DING Wenzhu, ZHANG Jianhong, YAO Shiyun. Department of Ophthalmology , Branched Hospital of Shanghai Frist People's Hospital, Shanghai Jiaotong University, Shanghai 2000811 China  
Objective To appraise the clinical efficacy of phacoemulsification plus foldable IOL implantation for the treatment of chronic angle-closure glaucoma with cataract. Methods 19 eyes of 19 cases of chronic angle-closure glaucoma with cataract admitted to our hospital from July 2003 to March 2005 were retrospectively analyzed. The visual acuity was worser than 0. 3. After phacoemulsification plus foldable IOL implantation, the patients were followed up for 3 to 12 months. The IOP, eye vision, depth of central and peripheral anterior chamber (AC) and angle before and after surgery were compared. Results The postoperative IOPs were significantly decreased comparing to the preoperative ones ranged from 15 - 26 mmHg, it was statistically significant (t = 2. 73, P 0. 02). The best corrected visual acuity of 18 eyes (94. 74%) was proved postoperatively, whilst that of one eye (5. 26%) remained unchanged. The difference of vision before and after surgery was also statistically significant (r = 2. 89, P0. 01). The depth of central AC was (1. 62±0. 23)mm before surgery and (3. 36±0. 35)mm after surgery showed that it was deepened after surgery and the difference was statistically significant (t = 2. 36, P 0. 05). The depth of peripheral AC was less than 1/4 CT before and more than 1 CT after surgery. The closed angle in some quadrants was reopened to some degre after surgery. Conclusion It's safe and effective to treat chronic angle-closure glaucoma with cataract by phacoemulsification plus foldable IOL implantation.
【CateGory Index】: R779.6
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