Ophthalmology in China

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Selection and progress of glaucoma combined with cataract surgery

YE Jian, YU Ling   

  1. Department of Ophthalmology, Army Medical Center of PLA, Army Medical University, Daping Hospital, Chongqing 400042, China
  • Received:2019-03-19 Online:2019-03-25 Published:2019-03-28
  • Contact: YE Jian, Email: yejian1979@163.com


 Glaucoma combined with cataract surgery will no longer be limited to a single mode of trabeculectomy combined with phacoemulsification. New equipment and new technologies are expected to further improve the safety and effectiveness of glaucoma surgery. Glaucoma combined with cataract surgery will develop in a minimally invasive direction. Although the reduction of intraocular pressure(IOP) in glaucoma minimally invasive surgery(MIGS), such as endoscopic cyclophotocoagulation(ECP), trabeculotomy, iStent implantation, Schlemn canaloplasty, XEN gel implant, is not comparable to traditional trabecular surgery, it provides safety for patients with mild or moderate open angle glaucoma, and reduces the dependence of glaucoma patients on drugs. The indications for MICS combined with cataract surgery may be extended to some primary angle-closure glaucoma(PACG). These need to be explored by carring out multi-center clinical randomized controlled trials in China. In future, MIGS and other new glaucoma surgery combined with cataract surgery in glaucoma patients, especially in PACG, will provide new ideas and new methods for the treatment of glaucoma with cataract. (Ophthalmol CHN, 2019, 28: 81-85)

Key words: glaucoma/surgery, cataract/surgery, combined surgery