Summary Goniosynechialysis (GSL) is a surgical procedure designed to strip the synechiae from the angle wall and restore the trabecular outflow. The success of the procedure depends not only on the preoperative duration but also the recurrence of the PAS.…
Summary ▪ Although phacotrabeculectomy is the most widely reported combined procedure, nonpenetrating glaucoma surgery (NPGS) combined with phaco appears to be a less invasive approach. ▪ Phacoemulsification offers the advantages associated with small incisions, while NPGS avoids ocular decompression and…
Summary Combined phacoemulsification and glaucoma device implant surgery is a viable alternative in eyes with cataract and refractory glaucoma. Its success rate and complications are similar to those observed with implant surgery alone. This procedure should be considered in selected…
Summary There is no single approach to the patient with coexisting cataract and glaucoma. Each case must be individualized in terms of glaucoma type and severity, rate of progression, response to glaucoma therapy, and degree of cataract. In addition, there…
Summary Cataract surgery may impair the function of the filtering bleb following trabeculectomy even with modern clear cornea phacoemulsification. This fact has an impact on the overall long-term outcome of trabeculectomy when cataract formation is considered a usual long-term complication…
Summary Lens extraction effectively reverses the anatomical predisposition to PACG, and reduces IOP and glaucoma drugs in PACG eyes. It may be performed alone, or in combination with other established IOP-lowering surgery in PACG eyes to achieve disease stabilization. Introduction…
Summary Cataract will be entwined in the evolving ocular history of the patient with open-angle glaucoma. There is increasing scrutiny of the role of cataract surgery in the management of glaucoma, especially the timing of intervention. In angle closure the…
Introduction A number of studies on nonpenetrating glaucoma surgery (NPGS) have been published in recent years. This is a fact to be celebrated, in view of the need for objective evaluations of these procedures in terms of efficacy, safety, and…
Summary The first few postoperative weeks are crucial for the success of NPGS, as in the case of any other glaucoma surgical procedure. Utmost care, therefore, must be taken to follow-up the patient regularly, in order to detect, manage and…
Summary As with any glaucoma surgery, patients should be told that unlike cataract surgery, nonpenetrating glaucoma surgery is neither a sight-improving operation nor is it a permanent cure for glaucoma. Follow-up continues to be essential. However, balance between safety and…