engleski

Glaucoma and cataract surgery

When considering surgical intervention in a patient with both glaucoma and cataract, a number of important, and at the times conflicting, findings complicate the decision making proces A combined procedure of cataract and glaucoma is usually indicated when surgery for IOP lowering is appropriate and visually significant cataract is also present. Mitomycin-C should be considered in all combined procedures to improve the chance of successful IOP control, un, unless there is clear contraindication for its use. There is limited evidence to differentiate a limbal vs a fornix base conjuctival incision or one site vs two site approach for combined surgery. Therefore, surgeon preference and experience will dictate the choice. Combined surgery procedures are less successful for IOP reduction then trabeculectomy alone. Cataract surgery alone is used if there is no indication for filtration surgery, but the cataract is visually significant. That procedure will improve the therapeutic situation, both form a visual standpoint and by lowering the IOP. If IOP control is essential, a trabeculectomy alone is the most likely to succed. Therefore glaucoma filtration surgery is used alone in the patients with very advanced damage.

glaucoma; cataract

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