方法：急性闭角型青光眼合并白内障23例24眼，慢性闭角型青光眼合并白内障11例12眼，进行白内障小切口囊外摘除联合小梁切除术，均一期植入人工晶状体。

结果：术后随访1mo，急性闭角型青光眼组术前平均眼压30.68±7.60mmHg，术后17.83±5.95mmHg，差异有统计学意义(P<0.05)； 慢性闭角型青光眼组术前平均眼压29.27±5.55mmHg，术后18.12±1.88mmHg，差异有统计学意义(P<0.05)。术前、术后两组间平均眼压差异无统计学意义。术后眼压控制良好者(6～21mmHg)者26眼(72%)，局部使用抗青光眼药物后眼压控制良好者8眼(22%)，总体有效控制率94%，眼压不能控制者(22～30mmHg)2眼(6%)； 术后视力提高者32眼(89%)，没有发生严重并发症。

结论：白内障小切口囊外摘除联合小梁切除术对于原发性闭角型青光眼(PACG)合并白内障的治疗可以有效控制眼压、提高视力，并发症少； 其在控制眼压方面对于原发性急/慢性闭角型青光眼无差异。

METHODS:Twenty-three patients(24 eyes)were acute angel-closure glaucoma with cataract, while 11 patients(12 eyes)were chronic angel-closure glaucoma with cataract. All of them were performed ECCE and IOL implantation combined with trabeculectomy.

RESULTS: Follow up for 1 month, before operation, the mean IOL of acute angel-closure glaucoma was(30.68±7.60)mmHg; after operation, IOL was(17.83±5.95)mmHg, the difference was statistically significant. Before operation, the mean IOL of chronic angel-closure glaucoma was(29.27±5.55)mmHg; after operation, IOL was(18.12±1.88)mmHg. The difference was also statistically significant. The differences of average intraocular pressure in two groups were not statistically significant. After surgery, intraocular pressure(IOP)of 26 eyes(72.3%)was under control(6-21mmHg)without anti-glaucoma drug, IOP of 8 eyes(22.2%)were kept in normal state with anti-glaucoma drug. The total effective rate amounts to 94%. while 2 eyes'(6%)intraocular pressure were still as high as 22-30mmHg even with anti-glaucoma drug. There was obvious improvement in visual acuity in 32 eyes(89%)with no serious complications.

CONCLUSION: ECCE by small incision andintraocular lens implantation combined with trabeculectomy is an effective and safe surgery technique in treating primary angle-closure glaucoma and cataract,which can effectively manage intraocular pressure and improve visual acuity with few complication. And there is no difference in IOP management between the acute and chronic angel-closure glaucoma.