ObjectiveTo explore the therapeutic effect of ultrasonic emulsification lens extraction combined with goniosynechialysis in the treatment of acute angle-closure glaucoma with cataract. MethodsA total of 89 patients (89 eyes) with acute angle-closure glaucoma with cataract were randomly divided into observation group (45 cases, 45 eyes) and control group (44 cases, 44 eyes). The observation group was treated by ultrasonic emulsification lens extraction combined with goniosynechialysis, while the control group was treated by combined trabeculectomy. The two groups′ visual acuity and intraocular tension before the operation, 3 days, 7 days, 1 month and 3 months after the operation were compared, so did the incidence of complications within 3 months after the operation. Results(1) No statistically significant difference was found in the intraocular tension between the two groups before the operation, 3 days and 7 days after the operation (all P＞0.05); compared with the control group, the observation group had lower intraocular tension at 1 and 3 months after the operation (all P＜0.05). (2) There was no statistically significant difference in the visual acuity between the two groups before operation, on the 3rd day, 7th day and 1 month after operation (all P＞0.05); 3 months after the operation, both groups′ visual acuity increased as compared with that before the operation, and the observation group had a higher visual acuity than the control group (all P＜0.05). (3) Three months after the operation, the incidence of complications in the observation group was lower than that in the control group (P＜0.05). ConclusionThe application of ultrasonic emulsification lens extraction combined with goniosynechialysis in the treatment of patients with acute angle-closure glaucoma with cataract can decrease the intraocular tension and promote the recovery of visual acuity, with high operation safety and few complications.

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