中文摘要：

目的：探讨原发性闭角型青光眼合并白内障超声乳化手术疗效。方法：原发性闭角型青光眼合并白内障32眼,其中急性期的28眼行白内障超声乳化手术;慢性期4眼行白内障超声乳化联合小梁切除术。结果：术后第1d,9眼出现角膜内皮线状皱折,5眼角膜基质轻度水肿、混浊,2～4d后消退,角膜恢复透明,房水炎症细胞＋～＋＋,经术后抗炎治疗1wk,前房炎症细胞消失;术后1wk随访,急性期的28眼,眼压均在10～20mmHg之间,慢性期4眼,眼压7～9mmHg。术后2wk随访,所有患者眼压均在10～20mmHg之间。所有患者术后视力均得到不同程度的提高。结论：超声乳化白内障吸除联合人工晶状体植入术,治疗原发性闭角型青光眼合并白内障是一种安全、有效、化繁为简的选择,避免了单纯青光眼术后再次行白内障手术的可能。

英文摘要：

AIM：To investigate the surgery effect of phacoemulsification for primary angle-closure glaucoma（PACG） complicated with cataract surgery.METHODS：PACG complicated with cataract were 32 eyes, of which the acute phase of 28 eyes performed phacoemulsification, chronic phase of 4 eyes performed phacoemulsification combined with trabeculectomy.RESULTS：At postoperative 1 day, 9 eyes appeared corneal endothelial linear ruffled, 5 eyes occurred corneal stromal layer mild edema, turbidity cornea, which regressed at postoperative 2-4 days. Corneal restored transparent, causing inflammation cell ＋ to ＋ ＋. After the anti-inflammatory treatment for 1 week, inflammatory cells in the anterior disappeared. After 1 week follow-up, the acute phase of 28 eyes, intraocular pressure were 10-20mmHg, chronic phase of 4 eyes, intraocular pressure were 7-9mmHg. At postoperative two weeks of follow-up, all patients＇ intraocular pressure were 10-20mmHg. Visual acuity of all the patients improved to varying degrees.CONCLUSION：Phacoemulsification combined with IOL implantation for the treatment of PACG complicated with cataract is a safe, effective, change numerous for brief choice, which avoids to re-performing the cataract surgery after pure glaucoma surgery.