Procedure Type
SurgicalProcedure Duration
1 - 2 HoursHospital Stay (Days)
0-1 DayPhaco Cataract + Trabeculectomy is a combined surgical procedure performed to treat both cataracts and glaucoma in a single session. The cataract is removed using phacoemulsification (ultrasound energy to break and extract the cloudy lens), and trabeculectomy creates a new drainage pathway to reduce intraocular pressure caused by glaucoma. This combination benefits patients dealing with both conditions simultaneously.
This dual surgery is often advised for patients who have visually significant cataracts along with uncontrolled or progressing glaucoma. Instead of undergoing two separate surgeries, combining them reduces recovery time, surgical risk, and the need for multiple anesthesia sessions. It also improves vision and better manages intraocular pressure with a single intervention.
The surgeon first uses phacoemulsification to remove the cataract and replaces the natural lens with an intraocular lens (IOL). Then, trabeculectomy is performed by creating a small flap in the sclera and forming a drainage channel for aqueous fluid to exit the eye, reducing pressure. A filtering bleb (small blister-like area) forms under the upper eyelid to allow fluid to drain safely.
Ideal candidates include patients with moderate to severe glaucoma who also have cataracts affecting vision. It’s especially beneficial for those at high risk of further optic nerve damage or who struggle to control glaucoma with medications alone. Your ophthalmologist will evaluate your eye pressure, visual field, and lens opacity before recommending the procedure.
Recovery typically takes a few weeks. Patients may notice improved vision within days after surgery, but the full healing process can extend to 4–6 weeks. Regular post-operative check-ups are crucial to monitor intraocular pressure and ensure the filtering bleb is functioning. Eye drops and other medications may be prescribed during the healing period.
Senior Consultant & Assistant Professor MBBS, MD OPHTHALMOLOGY, FRCS
MBBS, MD - Ophthalmology Ophthalmologist/ Eye Surgeon
As with any eye surgery, there are potential risks including infection, inflammation, bleeding, hypotony (low eye pressure), failure of the bleb, and vision disturbances. However, serious complications are rare, especially when the procedure is performed by an experienced surgeon and followed by proper post-op care.
This dual procedure is considered highly effective in controlling eye pressure while restoring clear vision. Most patients experience a significant reduction in intraocular pressure and may reduce or completely eliminate the need for glaucoma medications. It also provides long-term visual improvement due to cataract removal.
Gurugram, India
Gurugram, India
Gurugram, India
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