方法：收集四川大学华西医院2011-08/2014-08共收治的老年性白内障过熟期继发青光眼患者34例34眼。分析根据不同临床表现选择的不同治疗方法，以及相应的预后。

结果：所选34例患者均急诊入院，入院时视力均不超过指数/眼前，眼压35～75mmHg。术前给予综合降眼压治疗，28例患者接受白内障超声乳化手术，6例行白内障囊外摘除术(ECCE)，19例患者根据病情选择Ⅰ期或Ⅱ期植入人工晶状体。术后所有眼痛缓解，30例眼压控制良好，1例行引流阀植入术，3例放弃治疗。17例植入人工晶状体者术后视力提高，最佳视力达0.7。

结论：通过及时正确的诊断，术前积极控制眼压和炎症，精心手术，术后严密观察，积极抗炎治疗，大部分白内障过熟期继发青光眼患者可以取得较好的疗效。

METHODS:Thirty four eyes with glaucoma secondary to hypermature cataract in 34 patients were collected from August 2011 to August 2014 in the West China Hospital, Sichuan University. Analyze different treatment methods selected according to different clinical symptoms, and corresponding prognosis.

RESULTS:Thirty four patients were hospitalized in emergency, all the eyes had visual acuity of finger counting or worse, intraocular pressure(IOP)was 35～75mmHg. All patients received comprehensive IOP-lowering therapy before the surgery. Twenty-eight patients underwent phacoemulsification, 6 patients underwent extra-capsular cataract extraction(ECCE)and 19 patients underwent primary or secondary IOL implantation. All the patients experienced pain relief after surgery, 30 of them had well-controlled postoperative IOP. One case underwent Ahmed glaucoma valve implant surgery, 3 cases gave up the treatment. Seventeen cases who had IOL implanted got great visual acuity improvement, the best postoperative visual acuity was 0.7.

CONCLUSION:As long as we have proper and prompt diagnosis and positive control of IOP and inflammation before surgery, precise surgery skills, close observation after surgery and positive anti-inflammation therapy, most of the glaucoma secondary to hypermature cataract get satisfactory outcomes.