Abstract：Objective To investigate the indications and clinical effects of two surgical methods for glaucoma with cataract. Methods Seventy-eight eyes of glaucoma with cataract were divided into groups: 39 eyes were treated with cataract extraction via small incision and trabeculectomy with intraocular lens implantation (group A). Phacoemulsification and intraocular lens implantation combined with trabeculectomy were performed in 39 eyes (group B). Clinical efficacy of two surgical methods under different indications were compared, including intraocular pressure control, visual acuity improvement, follicular status, and patient average medical cost (except intraocular lens).The follow-up time was 12 months. Results There was no significant difference in intraocular pressure, visual acuity and follicular pressure between group A and group B after surgery, and the average medical cost (except intraocular lens) was significantly lower in group A than in group B. Conclusion Intraocular pressure and vision can be improved in both group A and group B for glaucoma with cataract , but the economic burden is lighter in group A. Therefore, small incision micronucleus removal and intraocular lens implantation combined with trabeculectomy for glaucoma with cataract has a more obvious advantage, which is especially suitable for grassroots and poor areas, be worthy of promotion.
Key Words：Microbeam resection; Glaucoma; Cataracts; Joint operation