目的观察青光眼白内障联合手术的临床疗效。方法对28例青光眼合并白内障患者施行超声乳化及人工晶体植入联合隧道内小梁切除。结果术后视力<0.1者6例,0.1～0.5者12例,>0.5者20例。术后27例眼压降至正常范围。1例经局部滴药后降至正常。平均眼压13.42±2.6mmHg。并发症主要是角膜水肿及虹膜炎。结论白内障超声乳化人工晶体植入联合隧道内小梁切除术治疗青光眼合并白内障效果好。 Objective To observe the clinical efficacy of glaucoma combined with cataract surgery. Methods 28 patients with glaucoma and cataract were treated with phacoemulsification and intraocular lens implantation combined with trabeculectomy. Results Postoperative visual acuity <0.1 in 6 cases, 0.1 to 0.5 in 12 cases,> 0.5 in 20 cases. Postoperative intraocular pressure in 27 patients dropped to the normal range. 1 case dropped to normal after local drip. The average IOP was 13.42 ± 2.6mmHg. Complications are mainly corneal edema and iritis. Conclusions Cataract phacoemulsification with intraocular lens implantation combined with tunnel trabeculectomy is effective in treating glaucoma with cataract.