AIM: To observe the curative effect of trabeculectomy combined with phacoemulsification in patients with primary angle-closure glaucoma(including acute or chronic angle-closure glaucoma)complicated with cataract and the complications influences.

METHODS: Sixty patients(60 eyes)with glaucoma and cataract treated in our hospital from January 2014 to July 2016 were randomly divided into control group(30 eyes)and observation group(30 eyes). Trabeculectomy were used in the control group. Trabeculectomy combined with phacoemulsification was performed in the observation group. The clinical efficacy and complication rate of the two groups were compared.

RESULTS: There was no significant difference in the postoperative visual acuity between the observation group and the control group(P>0.05). The intraocular pressure of observation group was significantly lower than that of control group(P<0.05). In the observation group, the postoperative anterior chamber depth was greater than that in the control group(P<0.05). The postoperative complication rate in the observation group was 7% which was significantly lower than that in the control group(23%, P<0.05).

CONCLUSION: Trabeculectomy combined with phacoemulsification are the ideal treatment for primary angle-closure glaucoma with cataract. The complication rate is relatively low.