We know that for patients with narrow angles and cataracts, the best way to address their issues is to perform cataract surgery. When we replace the 4+ mm thick cataract with a thin IOL, we allow the angle to open widely. But what about in this case where there is a history of primary angle closure glaucoma? Our guest surgeon does a great job of cataract surgery and then performs the GATT procedure (Gonioscopy Assisted Transluminal Trabeculotomy). This helps to restore aqueous outflow and controls the patient’s intra-ocular pressure. What do you think of performing phaco+GATT in cases of primary angle closure glaucoma? please comment below
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