Objective To compare the curative effects of two surgical treatment methods for angle-closure glaucoma and cataract patients.Methods 76 patients with primary angle-closure glaucoma (＜180 degrees angle closure) and cataract were randomly divided into two groups A and B,with 37 cases in each group,they underwent phacoemulsification and small incision non-phacoemulsification cataract surgery respectively.We observed the intraocular pressure of preoperative and postoperative 1 week,1 month,3 months and 6 months,the corrected visual acuity of postoperative 1 week,1 month,3 months and 6 months were also observed,and the intraoperative and postoperative complications were compared.Resuhs Intraocular pressure was reduced compared with that before surgery in two groups,the difference was not statistically significant.After 1 month,non-phacoemulsification cataract extraction visual acuity ≥ 0.3 by 30 eyes(76.9％),phacoemulsification cataract visual acuity ≥ 0.3 by 33 eyes(89.2％),it was statistically significant (P＜0.05); 6 cases (15.38％) were significantly iris damage in group B,there were 2 cases (5.41％) in group A,it was statistically significant (P＜0.05).Conclusion Small incision nonphacoemulsification cataract surgery and phacoemulsification both can control the intraocular pressure of primary angleclosure glaucoma,but the visual acuity is better with less iris damage in phacoemulsification group.