方法：对32例急性闭角型青光眼并白内障患者，行眼压、房水流畅系数、缩瞳前后房角镜及超声生物显微镜检查，选择超声乳化吸除人工晶状体植入术或联合小梁切除术。术后择期检查视力、眼压、房角镜、UBM，观察至术后3mo。

结果：患者32例中24例行超声乳化吸除人工晶状体植入术，8例行超声乳化吸除人工晶状体植入联合小梁切除术，各组均有1例术后眼压高，点降眼压药物控制。

结论：房水流畅系数、缩瞳后房角镜及超声生物显微镜检查有助于选择急性闭角型青光眼并白内障的手术方式。

METHODS: Totally 32 cases(32 eyes)with primary acute angle-closure glaucoma and cataract were selected. Examination of angle of anterior chamber(before and after the using of pilocarpine), intraocular pressures and C value were performed pre and after operation. Two types of surgery were performed: phacotrabeculectomy plus intraocular lens implantation(IOL)and phacoemulsification with intraocular lens implantation. They were followed up for 3 months after surgery.

RESULTS:Twenty-four cases were performed phacoemulsification with IOL; 8 cases were performed phacortrabeculectomy plus intraocular lens implantation. There was 1 case with high intraocular pressure in each group respectively. Intraocular pressure was controlled by drug.

CONCLUSION: Examination of angle of anterior chamber(after the using of pilocarpine)and C value can be helpful to choice surgery method of primary acute angle-closure glaucoma and cataract.