THE EXTRACTION of a cataractous lens from an eye involved by glaucoma of such severity that surgical control has been required presents many problems to the surgeon. In such cases the patient's future vision rests upon the surgical removal of a cataract from an eye whose metabolism has already been impaired by glaucoma and an antiglaucoma operation.
Considerations regarding the simultaneous management of a mature cataract and primary or secondary glaucoma which cannot be controlled medically are outside the province of this paper.
In such cases, three locations have been suggested for the corneal section: (1) in the upper limbus, directly through the bleb; (2) through the clear cornea anterior to the bleb, and (3) at the limbus laterally and inferiorly, the incision avoiding the bleb. Each of these locations has been proposed by various ophthalmologists, and the advantages and disadvantages of each method have been described.
CALLAHAN A. CATARACT EXTRACTION AFTER GLAUCOMA SURGERYLateroinferior Approach Following Filtering Glaucoma Operation. AMA Arch Ophthalmol. 1952;47(2):132-140. doi:10.1001/archopht.1952.01700030137002