{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:02:56Z","timestamp":1777903376072,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":345,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82070962"],"award-info":[{"award-number":["82070962"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate changes in choroidal thickness (CT) and their association with refractive outcomes after phacoemulsification combined with goniosynechialysis (Phaco\u2010GSL) in patients with primary angle\u2010closure\/glaucoma (PAC\/PACG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study involved 79 eyes from 54 patients with PAC\/PACG who underwent Phaco\u2010GSL. Intraocular pressure (IOP), best\u2010corrected visual acuity (BCVA), and CT were measured preoperatively and at 1\u2009week (W1), 1\u2009month (M1), 3\u2009months (M3), and 6\u2009months (M6) postoperatively. In addition, anterior chamber depth (ACD), axial length (AL), visual field mean deviation (MD), and mean refractive error (MRE) were recorded preoperatively and at the final follow\u2010up visit. Correlations between ocular biometric parameters and MRE were analyzed using appropriate statistical methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Within 6\u2009months after Phaco\u2010GSL, CT measured at 13 predefined locations showed an initial postoperative increase, followed by a gradual decline, eventually returning to baseline levels. IOP decreased at W1 and stabilized at M6. In addition, subfoveal choroidal thickness (SFCT) was negatively correlated with IOP preoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) and AL both preoperatively and at M6 (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01) but positively related to MD at M6. Moreover, CT changes were positively correlated with MRE (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05), while changes in ACD, AL, and IOP were not associated with MRE (all,\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that CT initially increases and then decreases over a 6\u2010month period following Phaco\u2010GSL. CT is associated with IOP, AL, and MD reductions. Furthermore, CT changes are associated with an increase in MRE, offering valuable insights into the refractive shifts in PAC\/PACG patients after Phaco\u2010GSL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/joph\/7173240","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T10:17:26Z","timestamp":1765534646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Choroidal Thickness and Its Effects on the Refractive Outcome After Surgical Treatment of Cataract Using Phacoemulsification Combined With Goniosynechialysis in Patients With Primary Angle 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