Abstract: Objective: To investigate the clinical effect of extracapsular cataract extraction combined with goniosynechialysis in treatment of acute angle closure glaucoma with cataract. Methods: Thirty-four patients (37 eyes) were subjected to this management. The anterior chamber depth, visual acuity, configuration of chamber anger, and intraocular pressure were determined. Results: After a mean postoperative follow-up of 180 days, the best corrected visual acuity was improved in 28 cases (30 eyes). The mean anterior chamber depth was 1.674±0.478 mm pre-operatively and 3.412±0.169 mm at post-operative 30 days (t=6.743, P＜0.001). The intraocular pressure was decreased from a pre-operative of 28.436±3.325 mmHg to a postoperative 7-day of 13.983±5.196 mmHg (t=5.263, P＜0.001). Angles of the anterior chamber were opened at post-operative 30 days in all 34 patients. The visual field was not significantly changed in 15 patients at six months after operation. Conclusion: Extracapsular cataract extraction combined with lysis of the synechiae is safe and effective for acute angle closure glaucoma.

Key words: Extracapsular cataract extraction, Goniosynechialysis, Glaucoma, Angle-closure