Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a…

Cohort studyJournal of clinical medicine· Jul 2026

Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.

Devin Giordano, Jasmine Okafor, Daniel Laroche

GlaucomaCohort studyClinical practiceQ2IF 3.5

Thicker natural lens was associated with greater eye pressure reduction after surgery

Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.

Devin Giordano … Daniel Laroche

Journal of clinical medicine · Jul 2026 · Q2 in General Medicine

Purpose

We aimed to evaluate the relationship between lens thickness (lens thickness) and postoperative outcomes following cataract surgery versus combined cataract-glaucoma procedures in a predominantly Black and Caribbean population, and to assess the utility of lens thickness and the Laroche Glaucoma Risk Calculator in predicting intraocular pressure (IOP) reduction.

Methods

This retrospective cohort study included 187 eyes from patients aged ≥50 years that underwent cataract surgery alone or combined cataract-glaucoma surgery (goniotomy or Ahmed retrobulbar/intraconal tube) at a single center in Queens, New York.

n = 187 eyes

Results

eyes with thicker lenses had a bigger drop in eye pressure after surgery

2.63mmHg

LT ≥4.5 mm

1.19mmHg

LT ≤4.2 mm

More results

Mean lens thickness was 4.53 mm.

Greater lens thickness was associated with increased postoperative IOP reduction across all groups.

Combined procedures yielded greater IOP reduction than cataract surgery alone, with the largest decrease in the Ahmed group (-4.56 mmHg).

More results

Cataract surgery alone produced smaller but significant reductions (-1.58 mmHg) and the greatest visual acuity improvement.

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Conclusion · 1 of 2

Increased lens thickness may serve as a predictive biomarker for postoperative IOP reduction.

Conclusion · 2 of 2

Incorporating lens thickness and the Laroche Glaucoma Risk Calculator into preoperative planning may enhance surgical decision-making and outcomes, particularly in underserved populations.

Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.

Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.

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