International Review of Ophthalmology ›› 2013, Vol. 37 ›› Issue (5): 322-328.doi: 10.3706/ cma. j. issn.1673-5803.2013.05.008

Previous Articles     Next Articles

The history and future of combined surgery in glaucoma and cataract

ZHU  Wei, WANG  Tao   

  1. 1. Department of Ophthalmology, Daxing Hospital, Capital Medical University, Beijing 102600, China; 2. Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2013-04-11 Online:2013-10-22 Published:2013-10-23
  • Contact: WANG Tao, Email: stevenwa@126.com

Abstract: Combined cataract and glaucoma surgery refers to the combination of  different types of cataract extraction operations and glaucoma operations. At present, it mainly refers to the phacoemulsification combined with filtering surgery especially trabeculectomy. Cataract surgeries include from intracapsular cataract extraction (ICCE), extracapsular cataract extraction (ECCE), to the transparent corneal incision phacoemulsification with foldable intraocular lens implantation even if femtosecond laser cataract surgery. The techniques of trabeculectomy include scleral flap firmly sutured, anti-metabolism drugs (especially mitomycin) application and the controlled demolition of scleral flap sutures. Nowadays there are no unified standards of indication for combined surgery. Some authors have suggested that patients with goniosynechia ≥ 180°, numbers of anti-glaucoma drugs ≥3, existing indication of cataract surgery, corrected visual acuity < 10/20, can be chosen for combined surgery. In the future, non-penetrating trabecular operation, viscocanalostomy and shunt procedures (including I-sent, ExPRESS) and endoscopic cyclophotocoagulation will be incorporated into field of combined surgeries. (Int Rev Ophthalmol, 2013, 37: 322-328)