方法：选取闭角型青光眼合并白内障患者90例96眼，根据房角粘连程度及病程长短，非随机选择施行超声乳化+人工晶状体植入术(Phaco+IOL)、超声乳化+人工晶状体植入联合虹膜周切手术(Phaco+IOL+PLI)、超声乳化+人工晶状体植入联合小梁切除术(Phacotrab+IOL)，观察手术前后的视力、眼压、前房轴深、滤过泡，随访时间为1mo。

结果：三种手术方式治疗青光眼合并白内障，术后视力均显著提高(P<0.05)、眼压明显降低(P<0.05)，术后1wk； 1mo三组之间眼压比较无显著差异。

结论：微切口透明角膜超声乳化及联合手术治疗青光眼手术是安全的。房角粘连<90°可行超声乳化联合人工晶状体植入； 90°<房角粘连为<180°行超声乳化联合人工晶状体植入+联合周边虹膜切除术； 如果病程长且房角粘连>180°，考虑行超声乳化联合人工晶状体植入+小梁切除术。

METHODS:In this study, 90 cases(96 eyes)with cararact combined angle-closure glaucoma were selected. Those were nonrandomly assigned into three groups by goniosynechia degree and disease coursing, and phacoemulsification with intraocular lens implant(Phaco+IOL), phacoemulsification with intraocular lens implant combined peripheral iridotomy(Phaco+IOL+PLI), and phacotrabeculectomy(Phacotrab+IOL)were non-randomly performed. Then preoperative and postoperative visual acuity, intraocular pressure(IOP), axial anterior chamber depth(AACD)and bleb were observed 1wk and 1mo.

RESULTS:In three surgical types of cararact combined angle-closure glaucoma,postoperative visions were evidently enhanced(P<0.05), while IOPs were evidently reduced(P<0.05). There was no significant difference among three groups-postoperative IOP respectively on 1wk and 1mo.

CONCLUSION: Phacoemulsification and combined operations by minimal invasive cornea treating glaucomaare safe. We perform Phaco+IOL in case of goniosynechia degree less than 90°, Phaco+IOL+PLI in case of goniosynechia degree between 90°～180°, Phacotrab+IOL in case of goniosynechia degree more than 180°.