Combined cataract‑glaucoma surgery treats cataract and raised intraocular pressure in the same operation. It can involve trabeculectomy, tube shunt, or minimally invasive glaucoma surgery (MIGS) performed alongside lens removal.
Rationale
Many glaucoma patients also develop visually significant cataracts; addressing both issues together can reduce the number of operations and simplify recovery. Removing the cataract alone may lower pressure slightly but often not enough in moderate or advanced glaucoma.
- Common combinations include cataract surgery with trabeculectomy or with MIGS devices
- Surgical planning balances visual rehabilitation with pressure targets
- Combined procedures may carry higher complexity and longer operating times
- Post‑operative drop regimens reflect both cataract and glaucoma needs
Outcomes
Combined surgery can improve vision while reducing drop burden and slowing glaucoma progression. Results and risks vary with the glaucoma procedure chosen and individual eye characteristics.
- Recovery may be slower than cataract surgery alone, especially with filtering surgery
- Close follow‑up is needed to adjust pressure control and manage inflammation
- Future glaucoma interventions are still possible if required
- Patients should understand that surgery controls but does not cure glaucoma
