Comorbidity of ophthalmic diseases in the elderly in the form of a combination of angle-closure glaucoma and cataracts develop against the background of various geriatric syndromes that are not taken into account when organizing and conducting medical measures. The aim of the study - substantiate the geriatric approach in the treatment of comorbid ophthalmopathology in the form of combined angle-closure glaucoma and cataracts in the elderly. Material and methods: In clinical conditions, 220 patients aged 60-74 years with glaucoma and cataracts and 200 patients of the same age with the absence of these diseases were examined. The risk factors of the above-mentioned diseases were studied using a special questionnaire and the odds ratio was determined using the generally accepted formula. Results of the study: it was Found that combined comorbid ophthalmopathology in the form of angle-closure glaucoma and cataracts is often diagnosed in old age in both men and women. The value of the odds ratio of the influence of this age in the formation of the considered comorbid pathology is 4.78. Among the studied cardiovascular risk factors for combined glaucoma and cataracts at the age of 60-74 years, systemic atherosclerosis, arterial hypertension, chronic heart failure and coronary heart disease are most common in comparison with patients of the same age, but without glaucoma and cataracts with a significant difference in these and other studied factors. High prognostic significance is associated with coronary heart disease (OR=7.81), chronic heart failure (OR=6.74), arterial hypertension (6.24), and systemic atherosclerosis (OR=5.36). Conclusion: Established systemic disorders in patients with comorbid ophthalmopathology should be taken into account when forming geriatric treatment regimens.