Patients are liable to catarac and glaucoma however both can occur at the same time and both can be removed in single surgery with LASER equipment.With "SLT" technique ,Selective Trabeculosplasty and Photodisruption however A number of factors affect the decision of whether to surgically remove cataracts in the patient with glaucoma.
Endoscopic laser cycloablation performed through a cataract incision was a reasonably safe and effective alternative to combined cataract and trabeculectomy surgery, providing an option for cataract patients who have glaucoma requiring surgical intervention.
LT Pre and Post-Op Care Pre-Op
Preoperatively, careful goinoscopy should be done to visualize the trabecular meshwork and plan the treatment area. Preoperative medications consists of a drop each of lopidine or Alphagan and topical anesthesia. A SLT laser gonio or zero magnification lens is placed on the eye with methylcellulose. The aiming beam is focused onto the pigmented trabecular meshwork.
Treatment is done in single-burst mode, placing 50 ± 5 contiguous, but not overlapping, 400-micrometer laser spots along 180 degrees. Bubble formation is monitored with each pulse. In cases with significant variation in trabecular pigmentation, the pulse energy is decreased if bubble formation occurred as described above.
After laser treatment, prednisolone acetate 1% is administered and continued n the treated eye four times daily for four to seven days.