Quand proposer une chirurgie combinée ?

Combined cataract and glaucoma surgery is underused, generallly due to a fear of per- et postsurgical complications. It is a more difficult surgery than simple phacoemulsification, but its benefit on intraocular pressure is established and is maintained over the time (at the difference of phacoemulsification), and permit to preserve the visual field. Optimal surgical technique and adequate follow-up are able to limit postoperative complications. Guidelines published by the European Glaucoma Society (EGS) clearly defined the combined surgery indications: cataract, in a patient with glaucoma uncontrolled by medical treatment or treated with a burdensome multitherapy.