Cataract surgery combined with MIGS more effective in lowering IOP

Researchers highlight the benefits of using both procedures in patients with glaucoma or ocular hypertension

Close up of elderly male
New research has highlighted the advantages of combining cataract surgery with minimally invasive glaucoma surgery (MIGS) in patients with glaucoma or ocular hypertension.

The study, which was published in International Ophthalmology, examined the effectiveness of cataract surgery alone compared to cataract surgery in combination with excimer laser trabeculotomy (ELT) or ab interno trabeculotomy (aiT).

A group of 245 patients underwent one of three procedures – either cataract surgery, cataract surgery with ELT or cataract surgery with aiT.

While all three procedures reduced intraocular pressure (IOP) and the need for medication, the scientists found that those who received a combined approach generally had lower IOPs than those who received cataract surgery alone.

“A combined phaco and MIGS procedures seem reasonable to consider whenever a cataract surgery in an eye with glaucoma or ocular hypertension is considered,” the authors emphasised.

After one-year, ELT combined with cataract surgery had the best results when compared with only cataract surgery or cataract surgery and aiT.

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