Objective:
To outline surgical approaches and technologies that address the dual challenge of controlling intraocular pressure (IOP) while ensuring optimal visual outcomes in glaucoma patients undergoing cataract surgery.
Key Findings:
- EDOF lenses are associated with fewer glare and halo symptoms compared to multifocal lenses.
- Toric IOLs can address corneal astigmatism and reduce dependence on glasses.
- Patient selection is crucial, with advanced technologies best suited for mild to moderate glaucoma patients with controlled IOP.
Interpretation:
The choice of IOL and surgical technique in glaucoma patients is critical to balance visual outcomes and IOP control, with EDOF and toric lenses being safer options.
Limitations:
- The long-term impact of transient IOP elevation during suction is still under study.
- The use of the Light Adjustable Lens in glaucoma patients may be limited due to variability in IOP and corneal shape.
Conclusion:
EDOF and toric lenses are generally safer choices in glaucoma patients, and careful patient selection is essential for optimal outcomes.
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