Approach to Cataract Extraction Combined with New Glaucoma Devices

Both the incidence of glaucoma and cataract increases in the aging population, and the surgical treatment of glaucoma increases the rate of progression of cataractous lens opacity. So, it follows that the simultaneous surgical treatment of both pathologies with cataract extraction, intraocular lens implantation, and intraocular pressure (IOP) lowering surgery benefits the patient with fewer procedures. This thereby decreases cumulative recovery time, time for visual rehabilitation, and intraoperative risk. Furthermore, a cataractous lens, which may sometimes be large in size, occupying a large antero-posterior space, or a forward positioned crystalline lens as with weakened zonules or microspherophakia, may cause narrowing of the anterior chamber angle and even precipitate angle closure with a pupillary block mechanism or via a mass effect.