July consultation #8

This patient has marginal IOP control with advanced glaucomatous cupping and field loss on maximum medical therapy in both eyes, though worse in the left eye. Cataract removal is indicated to improve vision and assist with lowering the IOP. In line with my initial recommendation,1 I would place a standard monofocal IOL (or a toric IOL, if justified by the extent of astigmatism). I would still recommend against placing a multifocal IOL because it would compromise functional vision given the extent of the glaucomatous loss.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation Section: Glaucoma Source Type: research