Chan PP, Tang FY, Leung DY, et al. - In the present study, the researchers sought to compare the 10-year clinical outcomes of eyes with acute primary angle closure (APAC) who were randomly assigned to either early phacoemulsification or laser peripheral iridotomy (LPI). Sixty-two APAC patients were invited for follow-up 10 years after undergoing either early phacoemulsification (phaco group) or laser peripheral iridotomy (LPI group) in a previous randomized controlled trial. As compared with APAC eyes that had initial LPI, early phacoemulsification needed less medication, had less peripheral anterior synechiae, had a lower incidence of intraocular pressure elevation, and had a lower incidence of blindness at 10 years.