AIM:To observe the clinical effects of micro incision extracapsular cataract extraction,IOL implantation combined with trabeculectomy in angle-closure glaucoma with cataract. METHODS:Eighty cases(86 eyes) with angle-closure glaucoma and cataract who underwent micro incision extracapsular cataract extraction and IOL implantation combined with trabeculectomy in our hospital were retrospectively analyzed. Patients visual acuity, intraocular pressure(IOP) before and after the operation were recorded. RESULTS: Patientsvisual acuity was under 0.1 in 5 eyes and between 0.1-0.2 in 11 eyes, between 0.3-0.5 in 53 eyes,over 0.6 in 17 eyes. ALL patientsIOP were normal after operation(10-21mmHg). CONCLUSION:The combined surgery of micro incision extracapsular cataract extraction and IOL implantation combined with trabeculectomy is a safe and effective surgery for pations with angle-closure glaucoma and cataract.This combined surgery can improve visual acuity and control IOP. The combined surgery relieves patients burden,is a better method to generalize .