Co-management of cataract and glaucoma in the era of minimally invasive glaucoma surgery

Abstract

Cataract and glaucoma frequently exist together. Because the field of glaucoma surgical care is expanding and cataract surgery is becoming progressively safer, it is important to frequently re-evaluate our treatment paradigms. We review and evaluate current studies and treatment options.

The surgical management of glaucoma: A review

“…211,212 Many prefer to perform either cataract or glaucoma surgery alone, rather than phaco-trabeculectomy because of reported higher failure rates with the combined procedures. 213 However, a recent review and meta-analysis found that outcomes were similar. 214 Inflammatory markers persist for more than a year after uneventful phaco and trabeculectomy is best delayed after cataract surgery.…”

“…214 Inflammatory markers persist for more than a year after uneventful phaco and trabeculectomy is best delayed after cataract surgery. 213 The current evidence on the effect of cataract surgery on glaucoma surgery function is mixed. 213 6.3 | Suprachoroidal drainage…”

“…213 The current evidence on the effect of cataract surgery on glaucoma surgery function is mixed. 213 6.3 | Suprachoroidal drainage…”

“…226 ECP can be combined with phaco in mild to moderate glaucoma but beware that it can induce a small myopic shift. 213…”

Minimally Invasive Glaucoma Surgery: A New Era in Glaucoma Treatment

“…Currently, MIGS surgical devices accessing the suprachoroidal space that have received certification include the CyPass and iStent Supra. Unfortunately, CyPass has been removed from the market owing to the escalated corneal endothelial cell loss experienced by certain patients postoperatively 16,17 . The article by Chan et al 10 principally examines the iStent Supra, expressing optimism for the future introduction of more such devices into clinical practice.…”