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The prevalence of cataract and glaucoma increases with age, therefore combined pathology is commonly encountered in elderly. Patients with visual field and optic nerve defects are not straight forward cases. Those who cumulate both conditions present unique functional and structural differences that affect pre, intra and postoperative results. We need to consider this when selecting intraocular lenses (IOL).
There are some characteristics of the patients with coexisting cataract and glaucoma that should be taken into account: the crystalline lens can generate various types of secondary glaucoma (1), hypotensive drugs potentially influence the development of cataract (2,3), cataract decreases the sensitivity of diagnostic tests that document glaucoma progression, glaucoma surgery may be associated with increased risk of cataract worsening postoperatively (4), phacoemulsification has a complex and dynamic effect on IOP (5,6).