·AIM:To compare effect of simple trabeculectomy and trabeculectomy combined with cataract phacoemulsification and intraocular lens implantation(hereinafter referred to as triple surgery)in the treatment of angle-closure glaucoma with short axial length.·METHODS:Thirty-nine eyes from 31 patients who suffered from angle-closure glaucoma with short axial length from July 2005 to January 2009 were retrospectively analyzed,in which 25 eyes had undergone simple trabeculectomy,14 triple surgeon.The patients were followed up for 1-25 months with an average of(9.51±6.11)months.·RESULTS:Postoperative intraocular pressure(IOP):the average IOP after triple surgery was(11.31±0.69)mmHg,before and after surgery there was a statistically significant difference(P<0.01),the average IOP after trabeculectomy was(18.47±3.54)mmHg,before and after surgery the difference was statistically significant(P<0.05);Best-corrected visual acuity(BCVA):all BCVA were increased after triple surgery,of which 78% ≥0.3,BCVA of 5 eyes dropped instead of rising after trabeculectomy,of which 32% ≥0.3,the two methods had a significant difference;ultrasound biomicroscope(UBM):before and after triple surgery there was a statistically significant difference in trabecubr iris angle(TIA),but no difference before and after simple trabeculectomy;anterior chamber depth(ACD):the average ACD after triple surgery was(3.22±0.53)mm,before and after surgery there was a statistically significant difference(P<0.01),the average ACD after trabeculectomy was(2.21±0.41)mm,before and after surgery the difference was not statistically significant;Postoperative complications:triple surgery had fewer postoperative complications,which needed no surgical correction,trabeculectomy had more postoperative complications,some of which were serious and lasting,and needed reoperation.·CONCLUSION:Compared with simple trabeculectomy,trabeculectomy combined with cataract phacoemulsification and intraocular lens implantation for angle-closure glaucoma with short axial length has a higher success rate,and better efficacy and fewer complications.·