Skip to main content

Cataracts + Glaucoma: Combining Procedures or Not?

When a patient has both a cataract and glaucoma, doctors often see an opportunity to treat two issues in one surgery. During cataract surgery, the eye’s cloudy lens is replaced – and at the same time, a small glaucoma procedure can be done to lower pressure. This combined approach can reduce the burden of multiple surgeries and may lessen the need for daily glaucoma drops. Patients commonly worry, “Is it safe to do both together? Will it complicate recovery?” In general, combining cataract surgery with a minimally invasive glaucoma surgery (MIGS) is considered safe and adds little extra recovery time. In fact, many people enjoy clearer vision from the cataract removal and better eye pressure control from the glaucoma procedure in one go. Not every case requires combination – if glaucoma is mild and well-controlled, cataract surgery alone might slightly lower eye pressure on its own. However, if you’re on several glaucoma drops or have moderate disease, your surgeon may recommend adding a tiny stent (like iStent or Hydrus) or performing an internal canaloplasty at the time of lens replacement. Think of it like fixing a dim headlight (cataract) and easing a clogged drain (glaucoma) while the hood is open. By addressing both, patients can potentially reduce dependence on glaucoma medications and avoid another operation. The decision is personalized: your doctor will weigh the glaucoma severity, target eye pressure, and overall health of the eye. Visual suggestion: an illustration of an eye cutaway showing cataract removal and a microscopic stent placed in the drainage angle, highlighting two procedures being done in one session (a “two-for-one” diagram).

Skip to content