目的:观察小切口白内障囊外摘除、后房型人工晶状体植入联合房角分离、小梁切除术（简称联合手术）治疗慢性闭角型青光眼合并白内障的临床疗效。方法:对20例26眼慢性闭角型青光眼合并白内障患者施行联合手术,术后观察视力、房角、眼压及滤过泡和并发症情况,随访4~10mo。结果:所有患者术后视力均有不同程度提高,术后房角可见不同程度的开放,周边虹膜粘连范围缩小,所有眼压控制在正常范围,22眼存在功能性滤过泡,主要并发症是前房出血、短暂角膜水肿。结论:采用联合手术治疗慢性闭角型青光眼合并白内障能够有效控制眼压、提高视力,手术安全、有效。

AIM: To observe the clinical effect of small - incision extracapsular cataract extraction ( ECCE ) with posterior chamber intraocular lens implantation combined with goniosynechialysis and trabeculectomy for the treatment of chronic angle-closure glaucoma with cataract. METHODS:Twenty cases (26 eyes) with chronic angleclosure glaucoma and cataract were performed combined surgery. The postoperative visual acuity, intraocular pressure ( IOP ), anterior chamber angle, filtering bleb morphology and complications were all observed and reported. The follow-up was 4-10 months. RESULTS:All the patients' visual acuity were improved in different degrees, All eyes had normal IOP. The angleclosure can be partly opened and the range of goniosynechia can be decreased after surgery. Twenty - two eyes had functional filtering bleb. The major complications were anterior chamber hemorrhage and transient corneal edema. CONCLUSION:Combined surgery for the treatment of chronic angle - closure glaucoma with cataract can effectively control IOP and improve visual acuity. It is safe and effective.