方法：对闭角型青光眼并白内障36例46眼行超声乳化白内障吸除折叠式人工晶状体植入联合小梁切除手术治疗。术前、术后分别详细记录患者视力、眼压、滤过泡、前房深度、房角及眼底情况。

结果：术后随访3mo～2a，43眼(93.5%)视力较术前明显提高，44眼(95.7%)眼压保持在正常范围，术后眼压<21mmHg。35例46眼患者前房深度术前平均为2.1±0.3mm，术后平均3.8±0.4mm，术后所有患者前房深度均加深，术前关闭的前房角也有不同程度的开放。6眼(13.0%)角膜水肿，无角膜内皮失代偿。

结论：合并白内障的闭角型青光眼患者行超声乳化白内障吸除联合小梁切除术安全有效，能够有效降低眼压、加深前房、开放房角，提高视力。

METHODS: In 36 cases(46 eyes)of angle-closure glaucoma with cataract, phacoemulsification with foldable IOL implantation combined with trabeculectomy was performed. Data of pre- and post-operation, including visual acuity, intraocular pressure, filtering bleb, anterior chamber depth, chamber angle, and funds were all recorded and analyzed in detail.

RESULTS: During the follow-up of 3 months to 2 years,visual acuity of 43 eyes(93.5%)got improved, and intraocular pressure in 44 eyes(95.7%)were controlled in normal range(<21mmHg). Mean anterior chamber depth of 35 patients(46 eyes)got deeper from 2.1mm to 3.8mm(average 2.1±0.3mm to 3.8±0.4mm)after operation, with chamber angle opened to some extent. Six eyes(13.0%)got mild to moderate corneal edema, without corneal endothelial decompensation.

CONCLUSION: Phacoemulsification with IOL implantation combined with trabeculectomy is an effective and safe surgical technique for patients with angle-closure glaucoma and cataract, with satisfied control of intraocular pressure, deepening of anterior chamber, opening of anterior chamber angle, and improving visual function.