方法：收集2009-10/2014-06急性闭角型青光眼合并白内障40例52眼，手术均采用颞侧透明角膜切口，白内障超声乳化人工晶状体植入联合房角分离术，术后随访6mo。

结果：术后最佳矫正视力较术前显著提高(P<0.01)； 患者术后6mo眼压平均为15.76±2.09mmHg，较术前用药前后眼压相比均显著下降(P<0.01)； 术后患者房角均较术前增宽，房角粘连关闭象限不同程度开放； 术前前房深度为1.97±0.29mm，术后增加到2.83±0.35mm，差异有显著性(P<0.05)； 未发生恶性青光眼、后囊膜破裂等并发症； 所有术眼人工晶状体均在晶状体囊袋内，未出现偏位、夹持。

结论：白内障超声乳化吸除联合房角分离术可有效降低眼压，提高视力，为急性闭角型青光眼同时合并白内障患者安全有效的治疗途径。

METHODS: Fifty-two eyes of 40 patients(52 eyes)from October 2009 to June 2014 in our department with acute primary angle-closure glaucoma combined with cataract were included in this study. All patients were undergone phacoemulsification with IOL implantation combined with goniosynechialysis through clear corneal incision at the temporal side and were followed up for 6mo.

RESULTS: Best corrected visual acuity was improved after surgery(P<0.01). The mean intraocular pressure(IOP)at 6mo after surgery was 15.76±2.09mmHg, significantly lower than preoperative IOP(P<0.01). Postoperative chamber angles were all wider than those after the surgery, and the closed quadrant of chamber angle adhesion opened in different degree. Preoperative anterior chamber depth was 1.97±0.29mm, postoperative anterior chamber depth increased to 2.83±0.35mm, and there was significant difference for the change(P<0.05). Malignant glaucoma and posterior capsule rupture was not observed during the follow-up. All IOL of operation eyes were in lens capsular bag, and the situation of deviation and clamping did not appear.

CONCLUSION: Phacoemulsification with IOL implantation combined with goniosynechialysis is a safe and effective treatment for acute primary angle-closure glaucoma combined with cataract in decreasing IOP and improving visual acuity.