Cataract surgery and lens implantation: Edited by Natalie AfshariCataract surgery and glaucomaVizzeri, Gianmarco; Weinreb, Robert N Author Information Department of Ophthalmology, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA Correspondence to Gianmarco Vizzeri, MD, Department of Ophthalmology, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA, 9500 Gilman Drive, La Jolla, CA 92093-0946, USA Tel: +1 858 534 2467; fax: +1 858 534 1625; e-mail: [email protected] Current Opinion in Ophthalmology: January 2010 - Volume 21 - Issue 1 - p 20-24 doi: 10.1097/ICU.0b013e328332f562 Buy Metrics Abstract Purpose of review To summarize the recent advances in the management of patients with coexisting cataract and glaucoma. Recent findings Although some evidence suggests that cataract surgery may be useful in the clinical management of eyes with angle closure glaucoma, recent studies show that the decrease in intraocular pressure (IOP) following cataract surgery alone in eyes with open angle glaucoma may be limited and transient. Combining cataract surgery with a trabeculectomy remains the preferred option. However, when IOP lowering is indicated, newer surgical techniques to lower IOP to be performed along with cataract extraction offer a promising alternative in patients with uncontrolled glaucoma and a visually significant cataract. Summary Cataract surgery alone or combined with trabeculectomy should be considered in the treatment of angle closure glaucoma. However, in eyes with open angle glaucoma, cataract surgery alone may be of limited clinical benefit in lowering IOP. Surgical alternatives to be combined with cataract extraction may be utilized to achieve a more significant IOP reduction. The appropriate treatment should be tailored based on patient's characteristics and the target IOP to be achieved. © 2010 Lippincott Williams & Wilkins, Inc.