Innovative technologies in combined surgery of glaucoma and complicated cataract

The review considers possible treatment tactics for patients with open-angle glaucoma and coexisting cataract. Combined treatment is recommended in the case of subcompensation of intraocular pressure (IOP) and a significant decrease in visual functions, because it allows achieving a more pronounced hypotensive effect, versus the phacoemulsification alone. The advantage of one-step intervention lies in the optimization of economic, social, psychological aspects, and shortening the patient's period of rehabilitation. In recent years, the methods of minimally invasive glaucoma surgery (MIGS) have become most relevant and common. The safety and technical simplicity of MIGS procedures, as well as their success in combination with phacoemulsification, ensured a widespread dissemination of these interventions. According to a number of scientific studies, the implementation of MIGS-technologies simultaneously with phacoemulsification contributes to the achievement of optimal results. The review considers the main groups of MIGS methods, presents the results of clinical studies devoted to their effectiveness. It presents the data on the efficacy of combined MIGS technologies with phacoemulsification and MIGS methods alone. There is a great interest in studying modern microinvasive methods of laser treatment in the combined treatment of patients with POAG and cataract. These operations have a minimal damaging effect on the trabecular tissue and have a pathogenetic orientation. The development of microinvasive-combined methods of treatment of POAG and complicated cataract remains an actual and promising direction.

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