Combining Cataract Surgery with Glaucoma Stent

Cataracts and glaucoma are two common eye conditions that can often occur together, particularly in older adults. Cataracts cause clouding of the eye’s natural lens, leading to blurry vision, while glaucoma involves damage to the optic nerve, often due to increased pressure within the eye. When these conditions coincide, managing both effectively is very important to preserving vision and overall eye health. Thankfully, one advanced treatment option is the combined procedure of cataract surgery with a glaucoma stent.  

Understanding Cataract Surgery 

Cataract surgery is a common and highly successful procedure where the cloudy natural lens (cataract) is removed and replaced with a clear artificial lens implant (IOL).  

The Role of Glaucoma Stents 

Glaucoma, on the other hand, involves damage to the optic nerve, usually due to increased fluid pressure inside the eye, known as intraocular pressure (IOP). If left untreated, elevated IOP can lead to permanent optic nerve damage and devastating vision loss. A glaucoma stent is a tiny device implanted into the eye, and designed to improve the natural outflow of fluid from the eye, thereby reducing IOP.  

Patient Evaluation 

Before recommending combined surgery, your ophthalmologist will conduct a thorough evaluation to assess the severity of your cataract and glaucoma and discuss if the addition of a stent during cataract surgery will be beneficial. Factors like current medications, history and overall eye health are taken into consideration.  

Surgical Procedure 

  • Cataract Removal: The first step involves removing the clouded lens through a small incision in the eye. This is done using phacoemulsification, where the lens is broken into small pieces and suctioned out. 
  • Glaucoma Stent Placement: Once the cataract is removed, the ophthalmologist will implant the glaucoma stent. The stent is inserted into the eye’s drainage system to create a bypass that allows excess fluid to drain out more effectively, reducing IOP.  

Benefits 

  • Single Surgery: Combining both procedures into one surgery reduces the need for multiple interventions and associated recovery periods 
  • Improved Outcomes: Studies have shown that combining cataract surgery with a glaucoma stent can lead to better control of intraocular pressure compared to traditional treatments, and also reduce the need for additional glaucoma medications 

For patients facing both cataracts and glaucoma, consult with an experienced ophthalmologist to discuss whether the combined treatment approach of cataract surgery with a glaucoma stent is suitable for your eye. By addressing both conditions in a single procedure, patients can benefit from improved vision outcomes and better management of intraocular pressure. Contact Nexus Eye Care to see an experienced ophthalmologist and discuss the treatment option that is best for your eye health.