方法：收集我院2010-07/2012-06的急性闭角型青光眼合并白内障患者48例48眼，均接受小切口白内障摘除人工晶状体植入联合房角分离术治疗，术后随访3mo。

结果：术后最佳矫正视力较术前显著提高(P<0.001)； 术后3mo，平均眼压为15.6±3.4mmHg，较术前平均眼压(27.3±4.8mmHg)明显下降(P<0.05)； 术后中央前房深度由术前的1.67±0.46mm增加到3.19±0.38mm(P<0.05)； 房角较术前增宽，术前关闭的房角不同程度的开放。

结论：小切口白内障摘除人工晶状体植入联合房角分离术是一种治疗急性闭角型青光眼合并白内障的有效方法。

METHODS: Manual small incision cataract extraction with IOL implantation andgoniosynechialysis was performed on 48 cases(48)eyes diagnosed with acute angle closure glaucoma and cataract. The best-corrected visual acuity(BCVA), intraocular pressure(IOP), anterior chamber depth(ACD)and anterior chamber angle width were measured and recorded preoperatively, 1 day,1 week,1 month and 3 months postoperatively.

RESULTS: The BCVA was significantly better after surgery(P<0.001). The mean IOP decreased significantly after surgery(P<0.05), ACD and anterior chamber angle width increased significantly(P<0.05).

CONCLUSION: The method of manual small incision cataract extraction with IOL implantation and goniosynechialysis is a good alternative for treating acute angle-closure glaucoma with cataract.