Wednesday, August 26, 2009

a combined glaucoma and cataract operation may be the procedure of choice

In an eye with a cataract, for which extraction is believed to be indicated, and coexisting glaucoma, the surgical approach is based primarily on the status of the glaucoma. In some cases, cataract extraction alone may be sufficient, whereas other eyes may require filtering surgery alone with cataract surgery at a later date. In other patients, a combined glaucoma and cataract operation may be the procedure of choice. The preferred technique for the glaucoma portion of a combined procedure is usually some form of guarded filtering surgery, and the combination of phacoemulsification with a guarded filtering procedure, possibly in conjunction with antimetabolite therapy, appears to have improved the long-term success rate of the combined procedure.


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