September 28, 2018 - HYNES - Physicians Conference
Cataracts and glaucoma are age-related ophthalmic conditions that commonly co-exist. One in five patients undergoing cataract surgery have a diagnosis of glaucoma, and glaucoma patients are known to have hastened cataract development. In general, routine cataract surgery results in IOP-lowering especially in those with high-tension open-angle glaucoma, pseudoexfoliation glaucoma, and primary angle closure glaucoma. However, complications can occur at a higher rate after routine cataract surgery in eyes with glaucoma compared to those without. Patient and procedure selection is therefore critical in the pre-operative evaluation of cataracts in the glaucoma patient. More recently, patient selection for combined cataract and glaucoma surgery has been influenced by the increasing options for lower-risk glaucoma procedures.