目的：探讨小切口白内障囊外摘除并人工晶状体植入联合小梁切除术治疗青光眼合并白内障的临床疗效。 方法：选择我院2007-09/2011-10原发性闭角型青光眼合并白内障患者80例86眼。本组患者均行小切口白内障囊外摘除联合小梁切除术。术后观察患者的视力和眼压情况。 结果：术后视力:<0.1共5眼，0.1～0.2共11眼，0.3～0.5共53眼,0.6以上17眼。术后患者眼压均降到临床统计正常范围(10～21)mmHg。 结论：小切口白内障囊外摘除并人工晶状体植入联合小梁切除术治疗青光眼合并白内障减轻了患者多次手术的负担，临床有显著效果,是治疗青光眼合并白内障较佳术式,值得临床推广应用。

AIM:To observe the clinical effects of micro incision extracapsular cataract extraction,IOL implantation combined with trabeculectomy in angle-closure glaucoma with cataract. METHODS:Eighty cases(86 eyes) with angle-closure glaucoma and cataract who underwent micro incision extracapsular cataract extraction and IOL implantation combined with trabeculectomy in our hospital were retrospectively analyzed. Patients visual acuity, intraocular pressure(IOP) before and after the operation were recorded. RESULTS: Patientsvisual acuity was under 0.1 in 5 eyes and between 0.1-0.2 in 11 eyes, between 0.3-0.5 in 53 eyes,over 0.6 in 17 eyes. ALL patientsIOP were normal after operation(10-21mmHg). CONCLUSION:The combined surgery of micro incision extracapsular cataract extraction and IOL implantation combined with trabeculectomy is a safe and effective surgery for pations with angle-closure glaucoma and cataract.This combined surgery can improve visual acuity and control IOP. The combined surgery relieves patients burden,is a better method to generalize .