[Combined cataract and glaucoma surgery. Current options].

Abstract

Trabeculectomy is no longer the gold standard for combined cataract glaucoma surgery considering the successful results following cataract surgery combined with trabeculotomy, viscocanalostomy and canaloplasty. The main disadvantage of these mostly non-penetrating procedures is the induction of conjunctival scarring which jeopardizes subsequent filtering surgery. Ab interno glaucoma surgery, including trabecular surgery and endocyclophotocoagulation, does not interfere with the conjunctival situation. These surgical options have a relatively minor risk profile for combined cataract glaucoma surgery compared to traditional filtering surgery; however, the pressure reducing efficacy of these ab interno approaches is limited with respect to the absolute reduction of intraocular pressure (IOP) and the achievable level of IOP. This has to be kept in mind when planning surgery.

• Authors: T S Dietlein, R A Widder, J F Jordan, C Jonescu-Cuypers, A Rosentreter
• Journal: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe) Vol. 110 Issue 4 Pg. 310-5 (Apr 2013) ISSN: 1433-0423 [Electronic] Germany
• Vernacular Title: Kombinierte Katarakt-Glaukom-Chirurgie. Aktuelle Optionen.
• PMID: 23605051 (Publication Type: English Abstract, Journal Article)

Topics

• Cataract Extraction (methods, trends)
• Combined Modality Therapy (methods)
• Glaucoma (surgery)
• Humans
• Light Coagulation (methods, trends)
• Trabeculectomy (methods, trends)