Results of operation for cataract with primary glaucoma.

THE MANAGEMENT of patients with senile cataract and primary glaucoma is a major ophthalmologic problem. At present there is much diversity of opinion concerning the treatment. Some of the more important questions to be resolved by the ophthalmologist confronted with this problem may be noted. Would a simple cataract extraction control the intraocular tension in the case of an untreated eye in which primary glaucoma and cataract are present? If the intraocular pressure cannot be controlled by miotics or operation for glaucoma, should another fistulizing operation be performed at the same time that the cataract is extracted? Is the intracapsular or the extracapsular technic the method of choice in cases of senile cataract with primary glaucoma? The present study was undertaken to determine whether the experiences with cases of senile cataract and primary glaucoma in the State University of Iowa clinic could contribute to the solution of this recurrent and