Wednesday, 16 March 2016

Glaucoma and Cataract

Glaucoma and Cataract! Some questions were raised by a patient/attendant on Glaucama and Cataract. Answers were given by Dr Umang Mathur, Medical Director, Dr. Shroff Charity Eye Hospital, Daryanganj, Delhi for Hospital Guide Foundation.
1.Is it safe to have a cataract surgery for a patient with Glaucoma in the same eye? Are there any alternatives?
Yes, it is safe to undergo cataract surgery with co-existing Glaucoma. The decision to be made is whether just a cataract surgery is to be done or cataract should be combined with trabeculectomy (surgery for glaucoma). This decision has to be made by the treating ophthalmologist, based on severity of glaucoma, whether eye pressure is managed on a single drug or more and compliance (ability to put drugs regularly and come for check-ups).
No there is no alternatives to surgery for cataract. If the cataract is causing blurred vision, it needs to be operated to improve vision.
2.Can a Glaucoma specialist do a cataract surgery? Or is there a separate cataract specialist the patient should consult?
Most glaucoma surgeons also perform cataract surgery, except for a few who restrict themselves to only glaucoma procedures
3.We were informed that the cataract surgery is typically done using special equipment but given patient’scondition, it might be done manually. Is this the usual procedure for a patient with both conditions?
Let the surgeon decide whether it should be a Phacoemulsification procedure or manual cataract surgery. This would be dependent on the hardness of the cataract and other factors in the eye. The results can be equally good with the latter. The only difference is that spectacles are prescribed after 6 weeks instead of 3 weeks.
4.Are there chances of her loosing vision due to the surgery? Are there any post-op complications we should be aware of?
If you get operated in good conditions with good quality systems, chances of loosing vision are remote

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