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

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 th...

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Main Authors: Kleonikos Tsakiris, George Kontadakis, Panagiotis Georgoudis, Zisis Gatzioufas, Athanasios Vergados
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/5575445
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author Kleonikos Tsakiris
George Kontadakis
Panagiotis Georgoudis
Zisis Gatzioufas
Athanasios Vergados
author_facet Kleonikos Tsakiris
George Kontadakis
Panagiotis Georgoudis
Zisis Gatzioufas
Athanasios Vergados
author_sort Kleonikos Tsakiris
collection DOAJ
description 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.
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issn 2090-004X
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publishDate 2021-01-01
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series Journal of Ophthalmology
spelling doaj-art-e2c8f8cf16544c48b8a7077b1b96374e2025-08-20T03:21:06ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/55754455575445Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature ReviewKleonikos Tsakiris0George Kontadakis1Panagiotis Georgoudis2Zisis Gatzioufas3Athanasios Vergados4Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London E11 1NR, UKWhipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London E11 1NR, UKWhipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London E11 1NR, UKDepartment of Ophthalmology, Basel University Hospital, Basel 4051, SwitzerlandWhipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London E11 1NR, UKCataract 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.http://dx.doi.org/10.1155/2021/5575445
spellingShingle Kleonikos Tsakiris
George Kontadakis
Panagiotis Georgoudis
Zisis Gatzioufas
Athanasios Vergados
Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
Journal of Ophthalmology
title Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
title_full Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
title_fullStr Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
title_full_unstemmed Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
title_short Surgical and Perioperative Considerations for the Treatment of Cataract in Eyes with Glaucoma: A Literature Review
title_sort surgical and perioperative considerations for the treatment of cataract in eyes with glaucoma a literature review
url http://dx.doi.org/10.1155/2021/5575445
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