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Review
. 2022 Nov;70(11):3797-3802.
doi: 10.4103/ijo.IJO_1317_22.

Manual small-incision cataract surgery and glaucoma - A dilemma of the duo

Purvi Raj Bhagat  1 , Kamini Mukeshkumar Prajapati  1
Affiliations
Review

Manual small-incision cataract surgery and glaucoma - A dilemma of the duo

Purvi Raj Bhagat et al. Indian J Ophthalmol. 2022 Nov.

Abstract

Both cataract and glaucoma significantly affect the quality of life of an individual and they are often found to coexist, either primarily or secondary to one another. Clear-cut guidelines are not available for this subgroup of coexistent morbidities. Through this article, we attempt to discuss the risks and benefits of staged and combined surgery, their short- and long-term effects on the intraocular pressure and pre and postoperative management. The indication and type of surgery will depend on the type, severity and control of glaucoma, and the clinical significance of cataract; and the surgical outcome on the surgical technique used, site of surgery, use of anti-fibrotic agents, and most importantly, the surgeon's skill and experience.

Keywords: Combined surgery; MSICS; comorbidity; manual small-incision cataract surgery; trabeculectomy.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Empirical guidelines for management of coexistent cataract and glaucoma
Figure 2
Figure 2
(a) U-shaped scleral tunnel. (b) V-shaped scleral tunnel
See this image and copyright information in PMC

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