Impact of Peripheral Anterior Synechiae on the Outcome of Combined Phacoemulsification, Goniosynechialysis, and Goniotomy for Primary Angle Closure Glaucoma and Cataract: A Multicenter Observational Study.
Fengbin Lin, Yingzhe Zhang, Xiaomin Zhu, Ping Yu, Sujie Fan, Aiguo Lv, Xiaoyan Li, Li Tang, Yao Zhang, Guangxian Tang, Xiaowei Yan, Lan Lu, Meichun Xiao, Huiping Yuan, Wulian Song, Minwen Zhou, Xiaohuan Zhao, Xin Nie, Mengfei Liao, Yunhe Song, Zhenyu Wang, Weirong Chen, Keith Barton, Ki Ho Park, Tin Aung, Dennis S C Lam, Robert N Weinreb, Clement C Tham, Liuzhi Zeng, Lin Xie, Ningli Wang, Xiulan Zhang
Summary
PEI+GSL+GT has proven to be an effective treatment for PACG with cataracts over a 1 year period. However, the outcome was not correlated with the preoperative extent of PAS.
Abstract
PRCIS
The combination of phacoemulsification, goniosynechialysis and goniotomy is an effective treatment for primary angle closure glaucoma patients with cataract, and this is not linked to the extent of preoperative peripheral anterior synechiae.
PURPOSE
To evaluate the impact of the extent of peripheral anterior synechiae (PAS) on the effectiveness and safety of combined phacoemulsification (PEI), goniosynechialysis (GSL), and goniotomy (GT) in eyes with primary angle closure glaucoma (PACG) and cataract.
PATIENTS AND METHODS
This study included patients diagnosed with PACG and cataracts who underwent combined PEI and 120 degrees GSL plus GT (PEI+GSL+GT) between April 2020 and October 2022 at 10 ophthalmic institutes. Eligible patients were divided into 3 groups based on the extent of
PAS
180°≤PAS0.05). The groups with 270°≤PAS<360°had a higher frequency of hyphema compared with 180°≤PAS<270° ( P = 0.044).
CONCLUSIONS
PEI+GSL+GT has proven to be an effective treatment for PACG with cataracts over a 1 year period. However, the outcome was not correlated with the preoperative extent of PAS.
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