TRABECULECTOMY: SURGICAL MANAGEMENT OF CATARACTS

Abstract

Trabeculectomy is an ocular surgery primarily indicated for the treatment of glaucoma, but not for cataract. However, the relationship between trabeculectomy and cataract surgery is important, since patients with glaucoma often have concomitant cataract. Trabeculectomy involves the creation of a fistula for drainage of aqueous humor, reducing intraocular pressure. Cataract surgery, on the other hand, consists of the removal of the opaque crystalline lens and replacement with an intraocular lens. Combined surgical management may be necessary, requiring a careful approach to minimize complications, such as ocular hypotony and inflammation. The sequence of surgeries and the choice of techniques should be individualized, considering the severity of glaucoma and the maturity of the cataract. Postoperative follow-up is crucial to monitor intraocular pressure and visual recovery. Thus, the integration of surgical strategies of trabeculectomy and phacoemulsification is essential for the effective management of patients with both conditions.