title: [Management of primary angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens implantation].
abstract: To evaluate the efficacy and safety of phacoemulsification with foldable posterior chamber intraocular lens(PC-IOL) implantation in the management of acute or chronic primary angle-closure glaucoma(APACG or CPACG) with cataract.
  
  
  
  Twenty-six cases(28 eyes) with simple cataract and 60 cases(70 eyes)of PACG with cataract, including 14 eyes of preclinical APACG, 29 eyes of paroxysmal APACG, 27 eyes of CPACG. Visual acuity distributed from hand movement to 0.8. Phacoemulsification and intraocular lens implantation were performed and patients were followed up for(8.5+/-4.5) months.
  
  
  
  In simple cataract group, postoperative IOP did not decrease(t=1.9201, P>0.05); in preclinical APACG group, postoperative IOP decreased (t=3.9910, P<0.01); in paroxysmal APACG group, postoperative IOP decreased (t=4.7441, P<0.01); in CPACG groups, postoperative IOP decreased (t=4.4976, P<0.01). In APACG and CPACG groups postoperative antiglaucoma medication reduced. In APACG and CPACG groups, angle of anterior chamber was widen. Preoperative central and peripheral ACD of APACG and CPACG were much less than those of postoperative. In 56 eyes of PACG, visual acuity was corrected in 48 eyes(85.7%) including 28 eyes(50%) with corrected visual acuity>0.5.
  
  
  
  The phacoemulsification with foldable posterior chamber intraocular lens implantation is beneficial for PACG with cataract, and the curative efficacy of APACG is better than that of CPACG.
authors.affiliation: Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Jin-hui
authors.initials: JH
authors.lastname: Wu
authors.forename: Lin
authors.initials: L
authors.lastname: Liu
authors.forename: Shi-hong
authors.initials: SH
authors.lastname: Zhao
authors.forename: Ming
authors.initials: M
authors.lastname: Zhong
authors.forename: Ya-jun
authors.initials: YJ
authors.lastname: Peng
authors.forename: Wei
authors.initials: W
authors.lastname: Shen
authors.forename: Yan-zhi
authors.initials: YZ
authors.lastname: Sang
authors.forename: Qing
authors.initials: Q
authors.lastname: Fu
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000150:complications / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D016896:Treatment Outcome; D014792:Visual Acuity