目的：探讨原发性闭角型青光眼（primary angle-closure glaucoma,PACG）在高眼压状态下的手术时机及需注意问题。 方法：回顾分析本院2009-01/2010-12 PACG患者57例57眼在高眼压状态下（＞40mmHg）进行手术治疗的效果。 结果：手术均成功，无明显并发症。随访6mo，观察术后视力不同程度提高者有53眼（93％），视力无变化者有4眼（7％）；眼压≤21mmHg者48眼（84％），联合局部用药眼压控制≤21mmHg有9眼（16％）。 结论：对于PACG的急性发作，经局部及全身用药治疗后眼压仍不能下降，需紧急行抗青光眼手术，以抢救患者的视力，避免视功能的进一步损伤。

AIM:To discuss the operational timing choosing and the technical details of primary angle-closure glaucoma (PACG) in high intraocular pressure. METHODS:The curative effects of 57 cases (57 eyes) with PACG of our hospital in two years ( January 2009 to December 2010) were retrospectively analyzed, these cases were treated with surgical therapy in high intraocular pressure (>40 mmHg). RESULTS:There was no complication in these cases. Followed up for six months, the vision of 53 eyes (93%) were improved and 4 eyes (7%) were not improved; intraocular pressure of 48 eyes (84%) treated with surgery and 9 eyes (16%) treated with combinations of surgery and drug administration were controlled under 21mmHg. CONCLUSION:If the intraocular pressure can not lowered to normal level through regular drug administration for the acute onset of PACG, there is an emergent need for surgical measure to protect and recover the vision of patients.