AIM: To investigate the clinical effects of phacoemulsification with intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma patients with cataract.

METHODS: Twenty-six cases(26 eyes)with acute angle-closure glaucoma patients with senile cataract all underwent phacoemulsification with intraocular lens implantation and trabeculectomy, the visual acuity, intraocular pressure and anterior chamber depth variation and postoperative bleb morphology, postoperative complications were observed.

RESULTS: Six months after operation, the visual acuity of 14 patients were ≥0.5 and 10 patients were from 0.12 to 0.4, which were improved significantly compared with preoperative, the differences were significantly(P<0.05); the mean intraocular pressure in postoperative 1 week, 3 months and 6 months were respectively 12.5±1.2mmHg, 14.3±1.5mmHg and 14.6±1.3mmHg respectively, which were lowered compared with the preoperative intraocular pressure, the differences were statistically significantly(P<0.05). The postoperative central anterior chamber depth was significantly deepened and functional diffuse blebs were formed. The main complications were corneal edema and anterior chamber inflammation.

CONCLUSION: Phacoemulsification and intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma with senile cataract is safe and effective with minor postoperative complications, which deserves clinical application and recommendation.