We report a case of 64-year-old female patient, complaining of decreased visual acuity, seeing veil in her visual fi eld and night driving diffi culty. The patient had a history of normal tension glaucoma and cortical cataract in both eyes. Optic disc examination showed: mild cupping and RNFL loss bilaterally in both eyes. We implanted 2 iStent inject in each eye followed by a hydrophilic foldable one-piece multifocal acrylic IOL (Oculentis LS-313 MF-30) in OD and a hydrophilic one-piece enhanced depth of focus IOL (Oculentis LS-313 Comfort-MF 15) in OS. After an uneventful cataract surgery, the post-operative outcomes were as follows: The patient is not using any anti-glaucoma eye drops anymore, corrected distance visual acuity [logMAR] increased OD from 0,20 to -0,1 and OS from 0,00 to 0-,1 with a binocular visual acuity of -0,2. Even though the objective outcomes showed good functional results, but patient complained about out of focus vision in distance, with moderate halo while still realizing she can see everything.
Keywords : Normal tension glaucoma, Cataract, IOL, MIGS, FLACS