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Updated: May 2, 2026

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Published on: January 26, 2018
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Role of phacoemulsification in angle closure glaucoma.
1University of California, Los Angeles Medical School, Los Angeles, CA , USA.
Summary
Cataract surgery effectively manages primary angle closure diseases by opening eye angles and controlling intraocular pressure (IOP). Recent studies show phacoemulsification alone is a promising treatment for IOP control.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Interventions
Background:
- Primary angle closure diseases encompass a spectrum of conditions affecting ocular fluid drainage.
- Traditional treatments included trabeculectomy or laser peripheral iridotomy for uncontrolled cases.
- Phacoemulsification cataract surgery is emerging as a viable alternative.
Purpose of the Study:
- To review current literature on cataract surgery's impact on primary angle closure diseases.
- To evaluate the efficacy of lens extraction in managing angle closure and glaucoma.
- To assess the role of cataract surgery in intraocular pressure (IOP) control.
Main Methods:
- Literature review of recent randomized controlled trials and existing studies.
- Analysis of data on angle opening and IOP reduction following cataract surgery.
- Comparison of surgical outcomes with conventional treatments.
Main Results:
- Cataract surgery demonstrates potential in preventing disease progression.
- Phacoemulsification alone shows promise for effective IOP management.
- The procedure aids in opening ocular angles, improving fluid dynamics.
Conclusions:
- Cataract surgery is a significant treatment option for primary angle closure diseases.
- Lens extraction offers a less invasive approach to IOP control and angle stabilization.
- Further research supports phacoemulsification as a primary intervention for these conditions.
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