AIM:To evaluate the clinical efficacy of phacoemulsifi-cation and intraocular lens implantation combined with trabeculectomy for glaucoma and coexisting cataract under topical anesthesia.METHODS:Under topical anaesthesia,phacoemulsification and intraocular lens implantation combined with trabeculectomy were done in 45 cases 45 eyes of glaucoma and coexisting cataract,and the clinical effect was observed.RESULTS:Postoperative best-corrected visual acuity was 0.1-0.3 in 12 eyes(27%),0.4-0.6 in 23 eyes(51%),0.7-1.0 in 10 eyes(22%).The postoperative intraocular pressure(IOP) was normal in 43 cases,only IOP of two cases were higher than normal recovered to normal after local dropping of drug.The main postoperative complications included corneal edema,shallow anterior chamber and iritis.The follow-up after surgery was from 6 to 18 months,all the complications were normal after drug treatment.CONCLUSION:Under topical anesthesia,phacoemulsification and intraocular lens implantation combined with trabeculectomy is an effective method to restore vision and control IOP in treating glaucoma and coexisting cataract.