Cataract surgery is one of the most commonly performed and successful surgical procedures worldwide. For patients with both cataracts and glaucoma, combined or sequential surgery can address both conditions effectively.
What Is a Cataract?
A cataract is a clouding of the eye's natural lens, which lies behind the iris and pupil. Cataracts are the leading cause of vision impairment worldwide and typically develop gradually with age. Symptoms include blurred vision, glare sensitivity, faded colors, difficulty with night driving, and frequent prescription changes. When cataracts significantly affect your daily activities, surgery is recommended.
The Surgical Procedure
Modern cataract surgery (phacoemulsification) is performed through a tiny 2.2mm incision. Ultrasound energy breaks up the cloudy lens, which is then aspirated. A clear artificial intraocular lens (IOL) is implanted in its place. The procedure is typically performed under local anesthesia, takes about 15–20 minutes, and requires no stitches. Advanced technology IOLs can correct astigmatism, near vision, or both.
Combined Cataract and Glaucoma Surgery
For patients with both conditions, cataract surgery can be combined with MIGS procedures (iStent, Hydrus, Xen) in a single operation. This combined approach can reduce or eliminate the need for glaucoma eye drops while restoring clear vision. Cataract removal alone can also lower IOP by 1–3 mmHg in some patients. Prof. Leshno specializes in these combined procedures.
Recovery and Outcomes
Most patients notice improved vision within a day or two after surgery. Full recovery takes approximately 4–6 weeks. Postoperative care includes antibiotic and anti-inflammatory eye drops for several weeks. Success rates exceed 98%, with most patients achieving excellent visual outcomes. You should avoid rubbing your eye, heavy lifting, and swimming for the first few weeks after surgery.