Glaucoma Clinic, M and J Western Regional Institute of Ophthalmology, Ahmedabad, Gujarat, India.
Indian J Ophthalmol. 2022 Nov;70(11):3797-3802. doi: 10.4103/ijo.IJO_1317_22.
Both cataract and glaucoma significantly affect the quality of life of an individual and they are often found to coexist, either primarily or secondary to one another. Clear-cut guidelines are not available for this subgroup of coexistent morbidities. Through this article, we attempt to discuss the risks and benefits of staged and combined surgery, their short- and long-term effects on the intraocular pressure and pre and postoperative management. The indication and type of surgery will depend on the type, severity and control of glaucoma, and the clinical significance of cataract; and the surgical outcome on the surgical technique used, site of surgery, use of anti-fibrotic agents, and most importantly, the surgeon's skill and experience.
白内障和青光眼都会显著影响个体的生活质量,而且它们经常同时存在,无论是主要还是次要的。对于这种并存的疾病亚组,没有明确的指导方针。通过本文,我们试图讨论分期和联合手术的风险和益处,以及它们对眼压的短期和长期影响,以及术前和术后管理。手术的适应证和类型将取决于青光眼的类型、严重程度和控制情况,以及白内障的临床意义;手术结果取决于所使用的手术技术、手术部位、抗纤维化药物的使用,最重要的是,外科医生的技能和经验。