Cataract Surgery Combined With Trabeculotomy to Lower IOP
Cataract Surgery Combined With Trabeculotomy to Lower IOP
For a selected collective of glaucoma or ocular hypertensive patients with at least a moderate cataract and who do not need the lowest target pressures, and in particular for those with an IOP over 21 mmHg, the combined surgery of excimer laser trabeculotomy and phacoemulsification (phaco-ELT) seems to be a good way to avoid or at least to delay trabeculectomy for some years. For patients with an IOP of 21 mmHg or lower, the addition of ELT to a standard cataract surgery procedure is a good option to lower IOP and to save AGD.
Conclusion
For a selected collective of glaucoma or ocular hypertensive patients with at least a moderate cataract and who do not need the lowest target pressures, and in particular for those with an IOP over 21 mmHg, the combined surgery of excimer laser trabeculotomy and phacoemulsification (phaco-ELT) seems to be a good way to avoid or at least to delay trabeculectomy for some years. For patients with an IOP of 21 mmHg or lower, the addition of ELT to a standard cataract surgery procedure is a good option to lower IOP and to save AGD.
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