Comparative efficacy and safety of phacoemulsification with intraocular lens implantation combined with goniosynechialysis versus phaco-trabeculectomy in primary angle-closure glaucoma with extensive peripheral anterior synechiae and cataract: a retrospective study

Key Points

• Phacoemulsification with goniosynechialysis shows improved efficacy in treating primary angle-closure glaucoma, compared to phaco-trabeculectomy.
• In the retrospective analysis of 120 cases, 78% of patients experienced significant pressure reduction with phacoemulsification.
• Analysis across various clinics highlights the importance of assessing anterior synechiae during surgical intervention for glaucoma.
• These findings suggest potential benefits of phacoemulsification methods with goniosynechialysis, advocating for further exploration.