AIM: To observe the effect of acute angle closure glaucoma with cataract patients treated with glaucoma trabeculectomy combined two incision phacoemulsification and intraocular lens(IOL)implantation(two incision triple surgery).

METHODS: Patients admitted in our hospital during Jan. 2013 to Jan. 2016.The acute angle closure glaucoma with cataract patients in 40 cases(58 eyes)were randomly divided into two groups: the observation group of 20 cases(29 eyes)with two incision triple surgery treatment, and the control group of 20 cases(29 eyes)with single incision triple after treatment. Visual acuity, intraocular pressure, bleb, corneal endothelial cell density, the area at 1mo before and after surgery, and postoperative complications of two groups were analyzed.

RESULTS: Postoperative visual acuity of two groups were significantly improved, but there was no significant difference between groups(P>0.05); postoperative intraocular pressure, bleb formation rate of the observation group were 14.41±1.38mmHg, 90%, and the control group 14.40±1.40mmHg, 86% without statistical significance(P>0.05), corneal endothelial cell density and area of observation group after 1mo were 1696.6±300.8/mm², 540.8±71.6μm², and control group 1410.6±288.5/mm² and 594.3±72.8μm² with significant differences(P<0.05). The incidence rate of compli-cation was 17% in the observation group, and 21% in control group(P>0.05).

CONCLUSION: For patients with acute angle closure glaucoma and cataract given two incision triple surgery and single incision triple surgery treatment can get good outcomes, but the effect of double incision on corneal endothelial cell injury is less.