Management of coincident glaucoma and cataract

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Recent technological advances have significantly altered the way many anterior segment surgeons approach the patient with concomitant cataract and glaucoma. Small-incision cataract extraction techniques and pharmacologic modulation of wound healing utilizing antimetabolites have made the combined glaucoma procedure an increasingly viable option. This discussion reviews the literature as it pertains to combined cataract and glaucoma surgery over the recent 1-year scanning period. Various techniques for combined cataract and glaucoma surgery are addressed with specific attention to small-incision phacotrabeculectomy, pseudoexfoliation and the combined procedure, antimetabolites, and postoperative astigmatism. The intention is not to provide a comprehensive review of this important topic but to discuss current opinion on the various issues that have appeared in the literature during the past year.

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