A 74-year-old man with a history of narrow-angle glaucoma requiring laser iridotomy was referred for consideration of cataract surgery. There was a brunescent cataract with a shallow anterior chamber and an endothelial guttate with an IOP of 20 mm Hg on three medications, including pilocarpine. The patient underwent combined cataract surgery with ab interno canaloplasty (ABiC) (Ellex) with an excellent result. At 6 months his IOP was 12 mm Hg off medical therapy with an unaided VA of 20/20. This video is presented by Imran Masood, FRCOphth, and Pravin Pandey, FRCOphth.
ABiC • angle-closure glaucoma, ACG • Phacoemulsification