The connection between cataracts and glaucoma
Often, cataracts and glaucoma coexist. Cataracts cloud the lens of the eye, making it difficult to see clearly, while the damage to the optic nerve caused by glaucoma leads to a gradual loss of peripheral vision. When these two conditions occur together, they can significantly impact a person’s quality of life.
While cataract surgery itself doesn’t directly treat glaucoma, it provides a unique opportunity to address both conditions simultaneously. That’s why it is especially important to choose a cataract surgeon with the skills and experience to do so.
Minimally Invasive Glaucoma Surgery (MIGS)
MIGS is a range of minimally invasive surgical techniques designed to lower eye pressure and optimise glaucoma control. One such technique involves implanting a tiny device called an iStent, which increases fluid drainage from the eye. This can help slow the progression of glaucoma and reduce the need for glaucoma medications. NICE published guidance in support of MIGS in 2017.
The benefits of combining cataract surgery and MIGS
By combining these procedures, patients can enjoy several benefits:
- Improved vision: Clearer vision from cataract removal.
- Reduced glaucoma progression: Lowered eye pressure from MIGS.
- Fewer medications: Potential reduction in the need for glaucoma eye drops.
- Convenience: A single surgical procedure to address both conditions.
Is iStent right for you?
iStent implantation is suitable for many people with moderate to advanced open-angle glaucoma. However, it’s essential to consult with an experienced ophthalmologist to determine if it’s the right choice for your specific needs.
Remember, while cataract surgery and MIGS can significantly improve your quality of life, regular eye check-ups remain crucial for monitoring your eye health and detecting any potential issues early on.
Choose your surgeon with care
Choosing the right surgeon is crucial when considering cataract surgery. It becomes even more important for those with glaucoma because not all surgeons have the same level of expertise in advanced techniques like MIGS.
A skilled surgeon like Prof Muhtaseb can provide tailored advice and perform the procedure with precision, ensuring optimal outcomes. He can also address potential complications and offer additional treatments like MIGS, which can be beneficial for certain patients. By selecting an experienced surgeon, you can increase your chances of achieving the best possible vision and overall eye health.
