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Abstract Patients presenting with coexistent, visually significantcataract and glaucoma that are resistant to medical or laser therapy, or both, pose an interesting therapeutic problem. The potential benefit of delaying cataract surgery in order to improve the success of filtering surgery must be weighed against the drawback of having 2 separate operations and delaying visual rehabilitation, as well as the risks of trabeculectomy-induced cataract progression and bleb failure with subsequent cataract surgery. Conversely, performing cataract surgery to improve vision while delaying filtering surgery may cause accelerated optic nerve damage secondary to transient or sustained elevation of postoperative intraocular pressure. Evidence-based data strongly supports the use of samesession techniques. In particular, combined phacoemulsification and trabeculectomy is the most widely reported combined ophthalmic procedure. Phacotrabeculectomy has long been used to simultaneously manage coexisting visually significant cataract and uncontrolled glaucoma. |