·AIM:To investigate the effect and clinical significance of psychological care for primary glaucoma.·METHODS:A randomized,parallel control study was applied.275 consecutive patients with primary glaucoma from January 2004 to December 2008 were randomly divided into experimental group,137 cases with specialist psychological care and control group,138 cases with routine treatment.After discharge,through the establishment of archives,family follow-up,hold classes and other measures,mental care was performed and the intraocular pressure(IOP),complications,visual prognosis and the quality of life were evaluated.·RESULTS:The postoperative IOP returned to normal accounted for 83.9%(115/137)in experiment group and 73.9%(102/138)in control group(χ2=4.15,P<0.05),there was significant difference in both groups.Operative complication rate(28/109,25.7%)in experimental group was significantly lower than that in control group(43/95,45.3%)(χ2=4.126,P<0.05).The quality of life in experimental group was significantly better than that in control group 3 months after surgery(χ2>3.84,P<0.05).·CONCLUSION:The psychological care can promote the recovery of normal IOP and visual function,reduce the incidence of complications in patients with primary glaucoma,especially it is beneficial to cultivate the confidence and improve the quality of life of patients,and has important clinical value.·