方法：回顾性分析2014-07-01/2016-01-30在我院眼科就诊的209例215眼合并有白内障的闭角型青光眼患者。术前所有患者的眼压均≥21mmHg，行白内障超声乳化吸出联合IOL植入和房角分离术，观察和分析手术前后的眼压、视力、前房深度、前房角的变化。所有患者随访6～25(平均13.8±6.9)mo。

结果：患者平均眼压明显降低，从20.4±8.1mmHg下降到13.5±3.3mmHg，差异有统计学意义(P<0.05)。术后随访期间，眼压均低于21mmHg，视力均有不同程度的提高，前房深度明显增加，角膜内皮细胞无明显减少，术后无严重并发症。

结论：白内障超声乳化吸出联合IOL植入和房角分离术对于闭角型青光眼能够获得满意的临床疗效，而且具有较高的安全性。

METHODS: A retrospective analysis was performed. A total of 215 patients with angle-closure glaucoma associated with cataract who underwent treatment in department of ophthalmology of our hospital from Jul.1, 2014 to May 30, 2016 were recruited in this study. All patients' preoperative intraocular pressures were ≥21 mmHg. The cataract phacoemulsification and intraocular lens implantation combined with goniosynechialysis were performed. The intraocular pressure(IOP), visual acuity, anterior chamber depth, anterior chamber angle before and after surgical procedures were measured and analyzed. All patients were followed for at least 6mo(mean 13.8±6.9mo; range: 6-25mo).

RESULTS: The mean IOP decreased significantly, falling from 20.4±8.1 mmHg to 13.5±3.3mmHg(P<0.05). During the postoperative follow-up, all patients' IOP lower than 21mmHg. Visual acuity and anterior chamber depth increased significantly as well. No significant reduction in corneal endothelial cell count was observed. In addition, there was no serious complications observed in all patients.

CONCLUSION: Phacoemulsification and intraocular lens implantation combined with goniosynechialysis for angle-closure glaucoma can achieve satisfactory clinical efficacy. It also has high safety.