Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review

Autor: Kleonikos Tsakiris, George Kontadakis, Panagiotis Georgoudis, Zisis Gatzioufas, Athanasios Vergados
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Ophthalmology, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-004X
2090-0058
DOI: 10.1155/2021/5575445
Popis: Cataract surgery in the presence of glaucoma poses certain challenges that need to be addressed to offer the maximum benefit without complications. In this paper, we are reviewing the preoperative assessment, surgical options, the planning, and postoperative care. Cataract surgery can help reduce the intraocular pressure alone or combined with MIGS. When performed in patients with glaucoma, it can transiently increase the intraocular pressure and later on decrease the IOP to levels lower than the postoperative. The preoperative IOP and biometric characteristics are the main predictors of the postoperative course of IOP. The combination of cataract surgery with trabeculectomy remains controversial, in terms of best timing of each operation.
Databáze: Directory of Open Access Journals