Background: Primary angle closure glaucoma (PACG) is a leading cause of irreversible blindness that need early and effective treatment .Laser Peripheral Iridtomy (LPI) is the standard treatment but the long term intraocular pressure control (IOP) is poor and surgical lens extraction might help avoid this problem. The aim of the work was to compare the effectiveness and safety of lens extraction with LPI in patients with acute PACG in Zagazig University Hospitals.
Methods: Fifty eyes of 50 patients with acute PACG were included in this study. They were treated with either lens extraction by phacoemulsification ( Group A) or LPI (Group B) after initial medical control of the acute attack. Pre-operative, intra-operative and post-operative data including uncorrected and best corrected visual acuity , IOP , anterior chamber depth (ACD) and angle width , intraoperative and post-operative complications were recorded. Patients were followed up for 12 months.
Results: Fifty eyes with acute PACG were enrolled randomly in two group (A&B). There was statistically significant difference between the two groups regarding mean IOP at the 6th and 12th postoperative with less IOP in group A .IOP reduction was higher in group A (P