| Popis: |
Objectives: To evaluate the results of phacoemulsification combined with goniosynechialysis on chronic primary angle-closure glaucoma (PACG) with cataract and to demonstrate the factors related to surgical results. Subjects and methods: A prospective descriptive study with no control was conducted on a total of 30 eyes from 27 PACG patients with cataracts, which underwent phacoemulsification combined with goniosynechialysis in Ha Dong Eye Hospital since February 2019 to September 2019. Results: Among 27 patients with 30 eyes in the study group, the absolute success rate was 86.7% and the relative success rate was 13.3%, while there were no patients with treatment failure. Visual acuity increased from 1.01 ± 1.01 before surgery to 0.37 ± 0.94 after surgery. Intraocular pressure decreased from 29.56 ± 3.02 mm Hg to 18.37 ± 2.65 mm Hg. Synechiae decreased from 227.9° ± 34.5° to 46.6° ± 4.5° after 1 month and 54.7°± 8.1° after 3 months. No serious complication was reported, most common complication was anterior chamber exudate (20%) which responded well to treatment and didn’t affect surgical results. Factors related to surgical results included time of disease detection less than 1 year had a success rate 7 times higher than disease detection over 1 year; eyes with anterior chamber angle 180° before surgery. Conclusions: Phacogoniosynechialysis is an effective and safe surgical option for chronic PACG with cataracts. |
