方法：回顾分析本院35例42眼老年白内障合并青光眼手术患者应用超声乳化联合小梁切除术的治疗过程，观察患者手术前后视力、前房深度、眼压变化，并分析其并发症发生情况，然后进行处理。随访时间为6～18mo。

结果：患者术后视力均有不同程度的提高，矫正视力达<0.1者2眼(5%)，0.1～0.3者18眼(43%)，>0.3者22眼(52%)。眼压由术前平均23.24±6.89mmHg，降低为平均16.54±2.56mmHg。患者术后前房深度均较术前加深，由术前平均1.34±0.41mm增加到术后2.81±0.53mm。并发症发生情况：角膜水肿14眼； 纤维素样渗出2眼； 前房出血2眼； 浅前房、低眼压1眼； 后囊混浊2眼； 术后高眼压3眼。各并发症经过相应积极的处理后，患者均取得较满意的疗效。

结论：超声乳化联合小梁切除术治疗老年白内障合并青光眼具有损伤小、愈合快等优点，是治疗白内障合并青光眼较安全、有效的方法。但是由于青光眼患者眼前节较为狭窄，超声乳化摘除手术存在一定难度，如何有效地处理和预防并发症的发生是手术成功的保证。

METHODS: This study retrospectively analyzed 35 patients(42 eyes)with cataract and glaucoma treated by phacoemulsification combined with trabeculectomy. Visual acuity, anterior chamber depth,the change of the intraocular pressure(IOP)were observed before and after operations. Postoperative complications were observed and treated too. Follow-ups lasted for 6～18mo.

RESULTS:Visual acuity of all patients had been improved with different degrees. The best corrected visual acuity(BCVA)was <0.1 in 2 eyes(5%), 0.1～0.3 in 18 eyes(43%)and >0.3 in 22 eyes(52%). The mean IOP reduced from 23.24±6.89 mmHg before operations to 16.54 ± 2.56mmHg after operations. Anterior chamber depth increased from 1.34±0.41mm to 2.81±0.53mmHg after operations. About complications, there were 14 eyes with corneal edema, 2 eyes with fibrinoid exudation, 2 eyes with anterior chamber hemorrhage; 1 eyes with shallow anterior chamber and low intraocular pressure, 2 eyes with posterior capsule opacification, 3 eyes with high IOP. After the treatment for complications, the patients were satisfied with the operation efficacy.

CONCLUSION:Phacoemulsification combined with trabeculectomy is safe and effective on the treatment of cataract coexisting with glaucoma, making little damage and quick healing. However, due to shallower anterior segment in glaucoma patients, phacoemulsification is difficult to performance. How to avoid the occurrence of complications and to treat them are the guarantee for successful operation.