Combined surgery for cataract and glaucoma

Combined Cataract and Glaucoma Surgery

New options for combined cataract and glaucoma surgery.

PURPOSE OF REVIEW To review the current literature regarding the effectiveness and risks of new surgeries that can be combined with phacoemulsification in the management of cataract and glaucoma. RECENT FINDINGS Surgical options for concurrently managing cataract and glaucoma have expanded in recent years. Endoscopic cyclophotocoagulation, trabecular micro-bypass stent, ab interno trabeculect...

Cataract Surgery Focus on Glaucoma

NOVEMBER/DECEMBER 2011 CATARACT & REFRACTIVE SURGERY TODAY 23 D uring the past 15 years, several studies have found a modest but sustained reduction in IOP after cataract surgery. A study from my institution is typical. In a retrospective review of 266 consecutive patients without glaucoma who had uncomplicated clear corneal cataract surgery, my colleagues and I recorded a mean IOP reduction of...

Cataract Surgery Focus on Glaucoma

NOVEMBER/DECEMBER 2011 CATARACT & REFRACTIVE SURGERY TODAY 35 E ndoscopic cyclophotocoagulation (ECP) involves laser ablation of the ciliary body epithelium under direct endoscopic visualization. The result is a lowering of IOP through a decrease in the production of aqueous humor. ECP can effectively treat most types of glaucoma. Often combined with phacoemulsification, ECP has been proven saf...

Cataract Surgery Focus on Glaucoma

SEPTEMBER 2010 CATARACT & REFRACTIVE SURGERY TODAY 45 C ataract and glaucoma frequently occur in the same patient, especially as the world’s population ages. Studies have shown that cataract surgery alone is capable of modestly reducing IOP and minimizing the patient’s need for multiple eye drops to control his or her IOP.1 The decrease may be larger when the baseline pressure is higher. Many t...