Glaucoma Triple Procedure

In this video, typical cataract surgery is combined with Trabectome surgery and endocyclophotocoagulation (ECP) to achieve lower intraocular pressure (IOP) than possible with any one surgery alone. Dr. Rahul Pandit first performs the Trabectome procedure through a clear corneal incision and ablates 90 degrees of the trabecular meshwork. Phacoemulsification and typical steps of cataract surgery follow. Under additional intracameral lidocaine, Dr. Pandit performs ECP and ablates 270 degrees of the ciliary processes. Finally an IOL is injected into the capsular bag and the primary incision is sutured to ensure the IOP is reduced no more than desired.