Abstract
Purpose To investigate whether it is better to perform minimally invasive glaucoma surgery (MIGS) when performing cataract surgery on glaucoma patients.
Methods The study enrolled subjects with mild-to-moderate glaucoma including primary open angle glaucoma (POAG), normal tension glaucoma (NTG) and combined mechanism glaucoma (CMG) with visually significant cataract who were treated with one or more ophthalmic antiglaucoma agents. Phacoemulsification and aspiration with intraocular lens insertion (PEA + IOL, phaco group) or MIGS with PEA + IOL (µLot-phaco group) was performed on patients with glaucoma. Age, sex, glaucoma type, pre- and post-operative IOP, and ratio of IOP reduction were estimated.
Results The rate of IOP reduction of µLot-phaco group was significantly higher than phaco group at 6 months after the surgery. Preoperative IOP, POAG, and age in µLot-phaco group were significantly correlated with IOP reduction at 6 months after the surgery.
Conclusion Simultaneous cataract and MIGS was found to be more effective in older POAG patients with higher preoperative IOP.