AIM: To discuss the clinical effects of cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract combined with glaucoma.

METHODS: Totally 135 patients with cataract combined with glaucoma were selected as objects in our hospital from March 2008 to January 2011. They were randomly divided into observation group and control group, according to different treatment methods. Observation group(cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy group, n=68)and control group(conventional operation group, n=67). We made a retrospective analysis on the clinical effects of the patients in two groups.

RESULTS: In observation group, the postoperative good eyesight rates were 92.6% and 88.2% for 1 week and 3 months after the operation; the good intraocular pressure rates were 98.5% and 95.6%; the incidence of complications was 5.9% for corneal edema, iris injury and anterior chamber inflammation. Compared with the control group, P<0.05, there were significant differences after statistical analysis.

CONCLUSION: Cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract combined with glaucoma can improve curative effect and operation security, it is a safe and secure surgery method for the treatment of cataract combined with glaucoma.