我们对32例(36眼)白内障合并青光眼患者采用囊外摘除联合小梁切除术治疗,2例同时植入后房型人工晶体,取得了良好疗效。 临床资料:本组男15例,女17例;年龄6～84岁。老年性白内障合并青光眼27例,外伤性白内障合并青光眼3例,继发性白内障合并青光眼2例。病程2天至4年。就诊时眼压5.602～9.527kPa。术前视力为4眼无光感,14眼光感,12眼手动,3眼眼前数指,3眼0.l。前房深浅尚可5眼,前房存在、较浅31眼,其中2眼虹膜有少量新生血管。房角检查除2例儿童不配合外,7眼角膜水肿,2眼角膜白斑视不见,N_24眼,N_312眼,N_49眼。 手术方法:术前用降眼压药物控制眼压。以2％利多卡因行球后和面神经分支阻滞麻醉后,间断压迫眼球5～10分钟。做以穹窿部为基底的结膜瓣,在12点方位以角膜缘为基底做5mm×4mm、1/ We treated 32 patients (36 eyes) with glaucoma by extracapsular cataract extraction combined with trabeculectomy and 2 patients with posterior chamber intraocular lens implantation, and achieved good results. Clinical data: The group of 15 males and 17 females; aged 6 to 84 years. 27 cases of senile cataract with glaucoma, traumatic cataract with glaucoma in 3 cases, secondary cataract with glaucoma in 2 cases. Course of 2 days to 4 years. Intraocular pressure 5.602 ~ 9.527kPa. Preoperative visual acuity was 4 eyes no light feeling, 14 eyes light feeling, 12 eyes manual, 3 eyes immediate means fingers, 3 eyes 0.l. Anterior chamber depth is still 5 eyes, anterior chamber there, 31 shallow eyes, of which 2 iris a small amount of neovascular. In addition to 2 cases of children with room angle examination, seven cases of corneal edema, two corneal leukoplakia, N_24 eyes, N_312 eyes, N_49 eyes. Surgical methods: preoperative intraocular pressure medication with intraocular pressure control. After 2% lidocaine and facial nerve block block anesthesia, intermittent oppression of the eye 5 to 10 minutes. Do conjunctival flap base of the dome, at the 12 o’clock position to the limbus as the base to do 5mm × 4mm, 1 /