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目的：了解原发性闭角型青光眼治疗中联合晶体手术的加深前房效果和临床意义。方法：５４眼原发性闭角型青光眼行白内障青光眼联合手术。其中ＥＣＣＥ＋ＩＯＬ＋小梁切除３２眼，ＥＥＣＥ＋ＩＯＬ＋虹膜周切１４眼，ＥＣＣＥ＋ＩＯＬ８眼。术前常规作Ａ超测前房深度和房角镜检查，术后三月后作同样检查。结果：术前平均前房深度２．１４±０．２３ｍｍ，术后平均前房深度４．３７±０．６７ｍｍ，经统计学分析有显著差异。术后比术前房角开放，也有显著差异，但房角粘连改变不明显。结论：提示在原发性闭角型青光眼治疗中，白内障手术可以加深前房，对开放房角和治疗有益。青光眼白内障联合手术有一定优点，掌握好指征可以取得良好效果。
OBJECTIVE: To understand the effect and clinical significance of combined anterior chamber angle glaucoma surgery in patients with primary angle-closure glaucoma. Methods: 54 eyes with primary angle - closure glaucoma underwent cataract surgery. ECCE + IOL + trabeculectomy in 32 eyes, EECE + IOL + iris in 14 eyes, ECCE + IOL8 eyes. Preoperative routine for A ultra-test of anterior chamber depth and gonioscopy, postoperative three months for the same examination. Results: The mean preoperative anterior chamber depth was 2.14 ± 0.23mm and the average anterior chamber depth was 4.37 ± 0.67mm. There was a significant difference after statistical analysis. Postoperative angle than the preoperative open angle, there are significant differences, but no significant changes in the angle of adhesion. Conclusions: It is suggested that cataract surgery can deepen the anterior chamber in the treatment of primary angle-closure glaucoma, which is beneficial to open angle and treatment. Glaucoma and cataract surgery have some advantages, good indications can achieve good results.