AIM: To investigate the indications and preliminary clinical results of two types of microsurgery of primary acute angle-closure glaucoma and cataract.

METHODS: Totally 32 cases(32 eyes)with primary acute angle-closure glaucoma and cataract were selected. Examination of angle of anterior chamber(before and after the using of pilocarpine), intraocular pressures and C value were performed pre and after operation. Two types of surgery were performed: phacotrabeculectomy plus intraocular lens implantation(IOL)and phacoemulsification with intraocular lens implantation. They were followed up for 3 months after surgery.

RESULTS:Twenty-four cases were performed phacoemulsification with IOL; 8 cases were performed phacortrabeculectomy plus intraocular lens implantation. There was 1 case with high intraocular pressure in each group respectively. Intraocular pressure was controlled by drug.

CONCLUSION: Examination of angle of anterior chamber(after the using of pilocarpine)and C value can be helpful to choice surgery method of primary acute angle-closure glaucoma and cataract.