title: Comparison of Combined Phacoemulsification, Intraocular Lens Implantation, and Goniosynechialysis With Phacotrabeculectomy in the Treatment of Primary Angle-Closure Glaucoma and Cataract.
abstract: OBJECTIVE
  This study aimed to compare the efficacy and safety of combined phacoemulsification, intraocular lens implantation, and goniosynechialysis with phacotrabeculectomy in the treatment of primary angle-closure glaucoma (PACG) and cataract.
  
  
  METHODS
  A comparative case series.
  
  
  METHODS
  Sixty-five patients (65 eyes) with PACG and cataract from the Fifth Affiliated Hospital of Sun Yat-Sen University were enrolled for this study between October 2009 and July 2011. Of these, 33 underwent combined phacoemulsification, intraocular lens implantation, and goniosynechialysis (treatment group), and 32 underwent phacotrabeculectomy (control group). The effects on intraocular pressure, best-corrected visual acuity, anterior chamber angle, number of antiglaucoma medications, and complications were evaluated.
  
  
  RESULTS
  Both the treatment group and the control group had lowered intraocular pressure, reduced the use of antiglaucoma medications, and improved vision in patients with PACG and cataract. Complications were 8 (24.2%) of 33 in the treatment group and 12 (37.5%) of 32 in the control group.
  
  
  CONCLUSIONS
  Combined phacoemulsification, intraocular lens implantation, and goniosynechialysis appears to be a preferred method for the treatment of PACG and cataract because it seems to have the same efficacy as phacotrabeculectomy and has much less surgical complications.
authors.affiliation: From the Departments of *Ophthalmology, and †Otolaryngology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
authors.forename: Xiao-Jing
authors.initials: XJ
authors.lastname: Zhao
authors.forename: Xiu-Xia
authors.initials: XX
authors.lastname: Yang
authors.forename: Yun-Ping
authors.initials: YP
authors.lastname: Fan
authors.forename: Bin-Hui
authors.initials: BH
authors.lastname: Li
authors.forename: Qin
authors.initials: Q
authors.lastname: Li