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The combined surgical treatment of cataract and glaucoma has a long and controversial history. However, the guidelines proposed by the European Glaucoma Society facilitate therapeutic decisions. If a patient with open-angle glaucoma is stabilized with medical treatment, it is often sufficient to operate on the cataract alone and to continue medical treatment afterwards. If the patient is not stabilized or if the medical treatment is not well tolerated, it is suggested that a combined procedure be performed. If visual functions are threatened by the glaucoma, it is better to perform the filtering procedure first. The authors review these options and elaborate on each surgical technique. LA: French
Dr T. Zeyen, Dienst Oogheelkunde Universitair Ziekenhuis St.-Rafael Kapucijnenvoer 33, 3000 Leuven, Belgium
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)