Dr.SANDEEP KUMAR
-Commonly co exist and present special problems in diagnosis & management
-Cataract & glaucoma assessment
-Difficult due to miosis and pre existing glaucomatous damage
-Cataract may affect visual field testing and optic nerve assessment
RISKS IN EYE WITH GLAUCOMA
Miotic pupils
Posterior synechiae
Exfoliation-zonular weakness
Congested eyes-bleeding
Prior surgery-scarring/filtering bleb
Systemic diseases-diabetes, hypertension
Ocular conditions-myopia, shallow chamber
Increased incidence of post op IOP rise
Suprachoroidal haemorrhage
ADVANTAGES OF COMBINED SURGERY
Advantages
Restore vision promptly
Single procedure
Reduced glaucoma medications
Early post op IOP control
Long term IOP control
Anti metabolite use possible to enhance success
Facilitate assessment of disc & visual fields
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