title: [Glaucoma and cataract].
abstract: The coincidence of cataract and glaucoma is increasing due to population development. Trabeculectomy is still the most commonly used procedure in combined glaucoma-cataract surgery. However, a two-step approach, starting with cataract surgery should be preferred to minimize the risk of secondary filtering bleb scarring. Postoperative fibrin exudation and the complication rate are more pronounced after combined trabeculectomy compared to combined trabeculotomy and non-penetrating glaucoma surgery. Canaloplasty is a new innovative non-penetrating glaucoma procedure. The results after canaloplasty show an even lower intraocular pressure (IOP) after combined procedures compared to canaloplasty alone. Long-term results have to confirm a sustained decrease of IOP. Surgery of the chamber angle combined with cataract surgery has hardly any complications and preserves the conjunctiva. It also allows medication to be saved and more invasive surgery to be postponed.
authors.affiliation: Universitätsklinikum, Julius-Maximilians-Universität Würzburg, Josef-Schneider-Strasse 11, 97080, Würzburg, Deutschland. klink_t@klinik.uni-wuerzburg.de
authors.forename: T H
authors.initials: TH
authors.lastname: Klink
authors.forename: M
authors.initials: M
authors.lastname: Müller
authors.forename: M
authors.initials: M
authors.lastname: Zierhut
authors.forename: G
authors.initials: G
authors.lastname: Geerling
mesh_terms: D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000379:methods* / Q000639:trends; D005901:Glaucoma / Q000150:complications* / Q000601:surgery*; D006801:Humans
references.citation: J Cataract Refract Surg. 2002 May;28(5):745-51
references.pmid: 11978450
references.citation: J Cataract Refract Surg. 1999 Mar;25(3):340-6
references.pmid: 10079438
references.citation: J Glaucoma. 2006 Dec;15(6):475-81
references.pmid: 17106358
references.citation: Ophthalmic Surg Lasers. 1999 Apr;30(4):260-5
references.pmid: 10219028
references.citation: Eur J Ophthalmol. 2009 Mar-Apr;19(2):231-4
references.pmid: 19253239
references.citation: Graefes Arch Clin Exp Ophthalmol. 2010 Feb;248(2):249-56
references.pmid: 19834730
references.citation: Br J Ophthalmol. 2005 May;89(5):597-601
references.pmid: 15834092
references.citation: Eur J Ophthalmol. 2008 Mar-Apr;18(2):191-8
references.pmid: 18320510
references.citation: J Cataract Refract Surg. 2009 May;35(5):814-24
references.pmid: 19393879
references.citation: J Glaucoma. 2001 Aug;10(4):302-8
references.pmid: 11558815
references.citation: Br J Ophthalmol. 2003 Jul;87(7):850-2
references.pmid: 12812883
references.citation: Am J Ophthalmol. 2000 Dec;130(6):704-11
references.pmid: 11124287
references.citation: Arch Ophthalmol. 1999 Sep;117(9):1211-5
references.pmid: 10496393
references.citation: Ophthalmologe. 2009 Sep;106(9):805-12
references.pmid: 19806382
references.citation: Ophthalmology. 2007 May;114(5):909-14
references.pmid: 17397924
references.citation: Arch Ophthalmol. 1999 Oct;117(10):1311-8
references.pmid: 10532439
references.citation: Can J Ophthalmol. 2006 Feb;41(1):51-9
references.pmid: 16462873
references.citation: Ophthalmology. 2002 Oct;109(10):1902-13
references.pmid: 12359612
references.citation: Am J Ophthalmol. 2002 Oct;134(4):513-20
references.pmid: 12383807
references.citation: Graefes Arch Clin Exp Ophthalmol. 2002 Jan;240(1):2-6
references.pmid: 11954776
references.citation: Ophthalmology. 2008 Mar;115(3):447-454.e1
references.pmid: 17825417
references.citation: J Cataract Refract Surg. 2008 Jul;34(7):1096-103
references.pmid: 18571075
references.citation: Ophthalmology. 2002 Dec;109(12):2215-24; quiz 2225, 2231
references.pmid: 12466161
references.citation: J Glaucoma. 2007 May;16(3):324-8
references.pmid: 17438428
references.citation: Acta Ophthalmol Scand. 2007 Mar;85(2):143-8
references.pmid: 17305727
references.citation: Graefes Arch Clin Exp Ophthalmol. 1999 Nov;237(11):887-92
references.pmid: 10541897
references.citation: J Cataract Refract Surg. 1999 Jan;25(1):77-82
references.pmid: 9888081
references.citation: Klin Monbl Augenheilkd. 2006 Apr;223(4):303-7
references.pmid: 16639668
references.citation: J Cataract Refract Surg. 2007 Jul;33(7):1217-26
references.pmid: 17586378
references.citation: J Glaucoma. 2006 Jun;15(3):200-5
references.pmid: 16778641
references.citation: Eur J Ophthalmol. 2009 May-Jun;19(3):393-9
references.pmid: 19396784
references.citation: Eye (Lond). 2007 Jun;21(6):780-3
references.pmid: 16543923