本文作者对39例46只同时患有青光眼和白内障的眼进行小梁切除和白内障摘出联合手术。患者年龄均在50岁以上,70—80岁的占多数。38眼为开角型青光眼,8眼为窄角型青光眼。视盘有青光眼凹陷的22眼,正常的13眼,11眼因瞳孔缩小而看不清眼底。视野正常的8眼,有缺损的14眼(其中4只管视),24眼未查视野。全部患者术前进行抗青光眼治疗,用最大量的局部和全身抗青光眼药物能控制眼压的22眼(昼夜眼压 The authors performed trabeculectomy combined with cataract extraction in 39 patients with 46 eyes suffering from both glaucoma and cataracts. Patients are over 50 years of age, 70-80-year-old majority. 38 eyes open angle glaucoma, 8 eyes narrow angle glaucoma. Discs have glaucoma sunken 22 eyes, the normal 13 eyes, 11 eyes due to pupil shrinking and can not see the fundus. 8 eyes with normal vision, 14 eyes with defects (including 4 tubes) and 24 eyes without vision. All patients were treated with anti-glaucoma preoperatively and 22 eyes with IOP (maximal local and systemic anti-glaucoma medication)