Nine years ago, I have had phacoemulsification and IOL implant on my left eye. Post surgery, I developed acute steroid induced ocular hypertension, which was resolved with IV drug treatment. Fast forward, I developed open angle glaucoma in both eyes and I am undergoing trabeculectomy for the right eye (non-phaco LASIK eye) and will undergo phaco in the trabeculectomy eye as well since there is a sign of a posterior subcapsular cataract. I am already on maximum medical therapy Xalatan, Cosopt, Alphagan-P and Diamox. The visual acuity is already bad on the right eye due to glaucoma; it is about 78% according to a recent visual field test. So, I am not too worried about that. I have been placed on Xalatan for almost half a year now on my left eye, which had phaco done. Vision is still good, but there appears to be a slight haze and the glare appears to worsen over the past few months after starting Xalatan. The IOP is now controlled to around 16 mmHg and with Diamox it has on occasion even lowered to 10 mmHg. Is it normal to develop posterior capsular opacification 9 years post phacoemulsification? I was told that there were some mild PCO before I started Xalatan, but is it possible that the introduction of Xalatan hastened its progression even faster? With glaucoma under control, would a PCO laser capsulotomy be any risk for me? I mean would this still be recommended or would I be better hold off the surgery?
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