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Until recently, patients who were being treated for glaucoma were not considered the best candidate for cataract surgery. Complications including inflammation and toxic meshwork performance occurred more frequently than was found to be acceptable. Therefore the surgery was considered to be a higher risk for patients with any type of glaucoma.   Fortunately, cataract surgery has improved dramatically the past several decades. Cataract incisions are now much smaller. More efficient phacoemulsification technologies reduce disturbance. Femtosecond lasers enhance surgical precision so that the patient may have 20/20 vision within 24 hours of surgery.  These advantages, along with many others, have drastically reduced the risk of complications after cataract surgery. More importantly, recent clinical trials challenge the earlier view that cataract surgery had a negative impact on patients with glaucoma. It has been suggested that cataract surgery mechanically restores trabecular outflow in eyes predisposed to glaucoma, while prescription eye drops do not directly address the origin of the problem.   Although earlier cataract surgery is not a universal remedy, we would be wise to avoid underestimating its potential value is appropriate clinical situations. Refractive lens exchange may prove to be a first-line glaucoma therapy for many patients.

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Vision Treatments & Technology

This journal will include information in the optometry and ophthamology fields including studies and other valuable eye care stories.

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