ABSTRACT
Cataract and glaucoma frequently occur in the same patient, and there remains a lack of consensus regarding the best surgical management of coexisting cataract and glaucoma. Small-incision cataract surgery combined with adjuvant intraoperative use of antimetabolites has improved the maintenance of long-term intraocular pressure (IOP) control following the combined procedure, and a combined approach includes the advantage of patient convenience. Technological advances in cataract removal techniques have greatly helped glaucoma patients. During the preoperative evaluation of a patient with cataract and glaucoma, the question of whether to do phacoemulsification alone or a combined cataract and glaucoma procedure is considered. The use of a toric intraocular lens in combined glaucoma and cataract cases is not recommended as postoperative astigmatism cannot be controlled. Endoscopic cyclophotocoagulation at the time of phacoemulsification surgery is an increasingly popular technique for postoperative IOP control.
