Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma

Abstract Purpose To provide efficacy and safety of surgery with Trabectome combined with phacoemulsification in primary open-angle glaucoma. Methods In this interventional case series, 30 consecutive eyes that have had combined phacoemulsification with Trabectome were included. The main outcome measures were change in intraocular pressure (IOP), glaucoma medication use, and the rate of complications. Results Mean IOP was 18.25 ± 3.28 mmHg preoperatively which decreased to 13.50 ± 2.53 mmHg at 1 year. (P  Conclusion Combined phacoemulsification and Trabectome significantly lowered IOP and medication use, with early visual rehabilitation in the majority of patients.