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Staging the surgeries: glaucoma first or cataract first
Acta Ophthalmologica, 08/08/2012
Zeyen T – A combined Phaco–Trabeculectomy will often not have the same result as both procedures separately. The IOP lowering effect of a combined procedure is usually less than that of Trabeculectomy alone. Likewise, post–operative fluctuations of the anterior chamber depth after a combined procedure will influence the post–operative refraction, especially in the early post–operative period and/or if additional procedures are necessary to rescue a failing bleb. Therefore, most surgeons will prefer to stage both procedures.