July consultation #4

This older man has cataracts in both eyes with mild-to-moderate glaucoma in the right eye and more severe glaucoma in the left eye. Similar to my initial recommendation,1 I would perform cataract surgery with a MIGS procedure in both eyes. I would use a monofocal IOL in both eyes. I would not use a multifocal or depth-of-focus IOL in either eye, and I would not do even a mild degree of monovision. If this patient has significant astigmatism in either or both eyes, I would recommend a toric IOL. Femtosecond laser –assisted cataract surgery would be an option for either eye, but he will do well with a manual procedure as well.

Source: Journal of Cataract and Refractive Surgery - June 29, 2019 Category: Opthalmology Authors: Reay Brown Tags: Consultation Section: Glaucoma Source Type: research