Comparison of pathogenetically oriented methods aimed at activating the trabecular meshwork in the surgical treatment of cataract

Abstract

In modern ophthalmic surgery, the "gold standard" recognized by most surgeons is ultrasound cataract phacoemulsification, which can’t be said about its antiglaucoma component. Some surgeons prefer to combine phacoemulsification with a filtering surgery, or follow the cyclodestructive approach, but taking into account that the main aqueous humor outflow pathway is through the trabecular meshwork, interventions on the Schlemm’s canal are the most relevant and pathogenetically valid. The article covers the main approaches to surgical interventions aimed at the trabecular meshwork in combination with phacoemulsification, and presents surgical techniques developed by the authors.