Phacoemulsification and modified trabeculectomy for managing combined cataracts and glaucoma

Seven eyes in four patients who had combined cataract extraction, intraocular lens implantation, and glaucoma filtering surgery were examined retrospectively. A phacoemulsification technique was used with trabeculectomy performed under a modified limbal flap. All patients achieved a final visual acuity of 20/40 or better and intraocular pressure of less than 20 mm Hg without medication. The techniques are described and the management of combined cataracts and glaucoma is discussed.