目的：比较内窥镜下睫状体光凝与房角分离分别联合超声乳化人工晶状体植入术治疗闭角型青光眼合并白内障的疗效。方法：回顾性分析2018年10月至2020年5月在我院治疗的80例闭角型青光眼合并白内障患者的临床资料，根据治疗方法分组。采取内窥镜下睫状体光凝联合超声乳化人工晶状体植入术治疗者共41例，作为A组；余39例采用房角分离联合超声乳化人工晶状体植入术，作为B组。比较两组患者术前术后的视力、中央前房深度、眼压、不同时刻房角全部开放率及术后6个月内各种并发症发生率。结果：两组患者术后的视力、中央前房深度均好于或高于术前，B组术后1周视力好于A组，差异有统计学意义（P<0.05）；两组患者术后1、3、6个月中央前房深度均高于术后1周（P<0.05），组间比较差异无统计学意义（P>0.05）；两组患者术后1周、术后1个月、术后3个月、术后6个月的眼压均低于术前，B组术后6个月眼压高于术后1周，差异有统计学意义（P<0.05）；B组术后1周眼压低于A组，B组术后6个月眼压高于A组，差异有统计学意义（P<0.05）；A组术后即刻和术后6个月房角全部开放率均高于B组，B组术后6个月前房出血发生率高于A组，前房渗出、瞳孔形态异常发生率低于A组，差异有统计学意义（P<0.05）。结论：内窥镜下睫状体光凝联合超声乳化人工晶状体植入术治疗闭角型青光眼合并白内障的中央前房深度、远期眼压恢复效果更优，且安全可靠，两种手术方式均可改善患者房角关闭情况，前者房角开放率更高。

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