Combined glaucoma and cataract surgery
Year: 2025
Type: article
Study design: Systematic Review
Abstract: Relevance. The combination of glaucoma and cataracts is a common pathology that leads to decreased vision and blindness. The issue of rational treatment options remains unresolved. Currently, the following treatment options are used: phacoemulsification with intraocular lens implantation (aiming to normalize IOP), sequential glaucoma surgery and cataract removal (two-stage treatment), and combined simultaneous intervention (phacoemulsification and antiglaucomatous surgery). Purpose. To summarize the accumulated experience in the field of glaucoma and complex cataracts in order to determine an optimal approach to achieving the main goal of treatment, which is the normalization of intraocular pressure (IOP) and the improvement of vision. Material and methods. A literature search was performed in the PubMed and Scopus abstract databases, and articles published up until 2020 were included. A total of 32 relevant articles were analyzed. Results. An analysis of the literature has demonstrated the feasibility of a wider use of combined surgical techniques as an optimal approach to the management of glaucoma, in conjunction with cataract surgery. Conclusion. To date, simultaneous surgeries have made it possible to improve visual acuity, slow down the progression of glaucoma and optic neuropathy, reduce the drug burden on patients, as well as decrease the frequency of hospitalizations and the length of medical and social rehabilitation. Keywords: one-stage surgery, primary open-angle glaucoma, complicated cataract, refractory glaucoma.
Authors: S. Fyodorov Eye Microsurgery Federal State Institution, Moscow , Russian Federation, O.S. Kolysheva, G.V. Sorokoletov, S. Fyodorov Eye Microsurgery Federal State Institution, Moscow , Russian Federation, A.A. Arisov, S. Fyodorov Eye Microsurgery Federal State Institution, Moscow , Russian Federation, T.S. Luybimova, S. Fyodorov Eye Microsurgery Federal State Institution, Moscow , Russian Federation
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7127645409