Open AccessGoniosynechialysis versus phacotrabeculectomy in the management of coexisting cataract and primary angle-closure glaucoma
Author(s) -
AbdallahA Nasr,
A. Shalaby,
AmrT El Ghoniemy
Publication year - 2015
Publication title -
journal of egyptian ophthalmological society
Language(s) - English
Resource type - Journals
eISSN - 2314-6648
pISSN - 2090-0686
DOI - 10.4103/2090-0686.174679
Subject(s) - medicine , phacoemulsification , glaucoma , intraocular pressure , ophthalmology , visual acuity , complication , surgery
PurposeThe aim of the present study was to draw a comparison between phacotrabeculectomy (PT) and goniosynechialysis in the management of primary angle-closure glaucoma (unresolved acute cases or chronic cases), regarding their efficacy, feasibility, results, and complications.Patients and methodsIn total, 48 eyes of 40 patients diagnosed with senile cataract and primary angle-closure glaucoma were divided into two equal groups. Group A underwent PT, whereas group B underwent phacogoniosynechialysis. Postoperative intraocular pressure (IOP) and best-corrected visual acuity were followed up for 6 months.ResultsBy the end of the sixth month, complete success (IOP <21 mmHg without antiglaucoma therapy) was achieved in 80% cases in group A and 85% in group B. By the end of the sixth month, qualified or partial success (IOP <21 mmHg with antiglaucoma therapy) was achieved in 15% cases in both groups. Complications occurred in 45% of cases in group A, whereas complications occurred in 15% cases in group B.ConclusionGoniosynechialysis after phacoemulsification does not exceed conventional PT regarding IOP reduction and best-corrected visual acuity. However, the complication rate is lower in goniosynechialysis