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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Related Experiment Video

Updated: Jun 5, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
04:59

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Published on: July 7, 2023

Combined scleral buckling and phacoemulsification.

Pukhraj Rishi1, Tarun Sharma, Ekta Rishi

  • 1Shri Bhagwan Mahavir Vitreo Retinal Services, Sankara Nethralaya, Chennai, India.

Oman Journal of Ophthalmology
|January 15, 2011
PubMed
Summary

Combined scleral buckling and phacoemulsification effectively treated retinal detachment and cataracts in one procedure. This approach achieved 100% anatomical success, offering a safe and efficient surgical option.

Keywords:
Cataractphacoemulsificationretinal detachmentscleral buckling

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Last Updated: Jun 5, 2026

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Published on: April 14, 2026

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Cataract Surgery

Background:

  • Primary rhegmatogenous retinal detachment (RRD) often coexists with visually significant cataracts.
  • Simultaneous surgical intervention is desirable to minimize patient burden and recovery time.

Purpose of the Study:

  • To evaluate the outcomes of combined scleral buckling and phacoemulsification for primary RRD with cataract.
  • To assess the safety and efficacy of this combined surgical approach.

Main Methods:

  • Retrospective analysis of ten eyes undergoing combined scleral buckling and phacoemulsification between 1991 and 2006.
  • Included patients with primary RRD and visually significant cataract, with or without proliferative vitreoretinopathy (PVR).
  • Procedures involved scleral buckling with silicone explant and encircling band; phacoemulsification with or without intraocular lens (IOL) implantation; subretinal fluid drainage in select cases.

Main Results:

  • 100% anatomical success rate was achieved in all ten eyes.
  • Four eyes (40%) achieved visual acuity better than 6/12 at a mean follow-up of 9 months.
  • No major complications were reported.

Conclusions:

  • Combined scleral buckling and phacoemulsification is a safe and effective treatment for primary RRD with cataract.
  • This combined procedure avoids the need for multiple surgeries, simplifying patient management.
  • Consideration as a treatment option is warranted for selected RRD cases with significant cataract and early PVR.