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. 2021 Aug;113(4):471-473.
doi: 10.1016/j.jnma.2021.03.001. Epub 2021 Mar 27.

The Aging Lens and Glaucoma in persons over 50: Why early cataract surgery/refractive lensectomy and microinvasive trabecular bypass can prevent blindness and cure elevated eye pressure

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Free article

The Aging Lens and Glaucoma in persons over 50: Why early cataract surgery/refractive lensectomy and microinvasive trabecular bypass can prevent blindness and cure elevated eye pressure

Daniel Laroche et al. J Natl Med Assoc. 2021 Aug.
Free article

Abstract

Currently, IOP reduction is the only way we can help reduce or even stop glaucoma progression. Due to higher rates of blindness in vulnerable poorer groups with decreased access to expensive medications, safer, uncomplicated cataract extraction/refractive lensectomy and microinvasive trabecular bypass surgery should be considered earlier. We need more studies with randomized controlled clinical trials comparing earlier cataract surgery and trabecular bypass to medical, and laser therapies in order to reassess our algorithm for treating enlarged lens-related glaucoma in adults over the age of 50.

Keywords: Cataract surgery; Glaucoma; Intraocular pressure; MIGS.

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Conflict of interest statement

Declaration of Competing Interests Daniel Laroche is a consultant with Ivantis and on the Speaker Bureau with Aerie and Baucsh Health

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