青光眼及白内障手术是眼科比较常见的手术,其术式较多,但对青光眼伴有老年性或并发性白内障的病人来说,大多数学者主张先做抗青光眼手术,待眼压稳定后三个月,再做白内障摘除术。也有人主张在摘除白内障的同时做虹膜嵌顿术。见于这两种不同意见,我们采用两手术之优点,进行了青光眼白内障联合手术,经临床病例观察,效果良好,现报告如下: 一、手术操作步骤:(1)开睑以前步骤及麻醉均同白内障囊内摘除术。(2)上直肌固定后,在眼球上方距角巩缘6mm处,剪开球结膜及眼球筋膜,向两侧剪至9～3点钟方位,做以角巩膜缘为基底的结膜瓣,结膜下烧烙止血。(3)在12点钟距角巩膜缘约4mm处,切开巩膜约1/3厚度,向两侧平行 Glaucoma and cataract surgery is a relatively common ophthalmology surgery, its surgical style more, but glaucoma associated with senile or complicated cataract patients, most scholars advocate first anti-glaucoma surgery until the intraocular pressure stabilized after three Month, do cataract extraction. Others advocate cataract surgery while doing iris incarceration. Seen in these two different views, we use the advantages of the two surgery, glaucoma surgery combined with clinical observation, the effect is good, are as follows: First, the surgical procedures: (1) before the open eyelid steps and anesthesia are the same Cataracts cyst excision. (2) After fixation of the upper rectus, cut the bulb conjunctiva and the eyeball fascia at a distance of 6mm from the sacral margin above the eyeball and cut it to the 9-3 o’clock position on both sides to make a conjunctival flap based on the scleral limbus , Subconjunctival burned stop bleeding. (3) at 12 o’clock from the scleral limbus about 4mm, cut the sclera about 1/3 thickness, parallel to both sides