Effectiveness of Phacoemulsification with Goniosynechialysis in Angle Closure
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Abstract
Objective: To study the effect of phacoemulsification with goniosynechialysis on the reduction of intraocular pressure and the medications usage in the treatment of patients with angle closure glaucoma.
Materials and Methods: Patients who underwent phacoemulsification with goniosynechialysis between January 2019 and January 2022 were included in the study. Patient histories and records were obtained from the electronic hospital database.
Results: A total of 28 patients were included in this study, 75% being female, were enrolled in the study. The distribution of left and right eyes was equal. The average age of the patients was 59.28±8.04 years, and the mean visual acuity was Logmar 0.92±0.46. The average intraocular pressure (IOP) at baseline was 25.07±12.66 mmHg, ranging from 9 to 55 mmHg. The patients were using an average of 2.86±1.33 types of glaucoma medications. After 3 months of treatment, the average number of drops of glaucoma medications used decreased from 3.93 to 1.64 drops (P= <0.001, 95%CI [1.35,3.22]). The average intraocular pressure decreased from 25.07 mmHg to 12.75 mmHg (P= <0.001, 95%CI [7.76,16.88]), and the average number of types of glaucoma medications decreased from 2.86 to 1.53 (P= <0.001, 95%CI [0.65,2.00]).
Conclusions: Phacoemulsification with goniosynechialysis has been shown to be effective in lowering intraocular pressure in patients with angle closure glaucoma. Additionally, this procedure has the potential to decrease the number and types of glaucoma medications needed for managing the condition.
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