Lens replacement surgery can be suitable for some people with glaucoma, but it needs careful joint planning between your glaucoma specialist and surgeon.
Potential benefits and challenges
Removing the lens can widen the drainage angle in certain glaucoma types, which may help pressure control. However, glaucoma also makes the optic nerve more vulnerable to pressure changes during and after surgery.
- Angle-closure or narrow-angle glaucoma may benefit from lens removal
- In open-angle glaucoma, the main aim is usually visual rather than pressure benefit
- Existing visual field loss may limit how much clarity you gain
- Medication and pressure control need close review before surgery
- Sometimes combined cataract and glaucoma procedures are considered
Safety checks before deciding
A full glaucoma assessment guides whether surgery is sensible. The goal is to improve quality of life without risking further nerve damage.
- Visual fields, optic nerve scans, and pressure readings are reviewed carefully
- Your drop regimen or previous glaucoma surgeries are taken into account
- Pressure spikes after surgery are treated promptly with drops or tablets
- Regular glaucoma follow-up continues lifelong, even if pressure improves
- Some advanced glaucoma cases may be advised to avoid elective lens surgery
