Materials and Methods: Retrospectively, 52 eyes of 48 patients with both cataract and pseudoexfoliative glaucoma (PEG) were included in study. Best corrected visual acuity (BCVA), intraocular pressure (IOP), gonioscopic evaluation, anterior and posterior segment examinations are registered preoperatively and postoperatively. B mode ultrasonography was applied to evaluate posterior segment in mature cataracts. Post operative examinations were performed at 1.day, 21.day, 3.months and 6.months after the surgery and cases were followed by 6 months intervals. It was defined as full succes if postoperative IOP was below 18 mmHg without medication and when medication needed for this level it was defined as partial success. For significance level p value was regarded as below 0.05.

Results: The mean age of the patients was 63.5±10.4 years. Mean follow-up period was 46.4±12.8 months. Mean preoperative IOP was 23.4±7.4 mmHg and mean postoperative IOP in last visit was 12.6±2.8 mmHg. The number of glaucoma medications used was 1.6±1.2, preoperatively and this was 0.14±0.36 postoperatively. Preoperative mean BCVA was 0.14±0.10 and postoperative final mean BCVA was 0.54±0.42. The increase in BCVA, decrease in IOP and number of antiglaucoma medications were found to be statistically significant (p< 0.05).

Conclusion: Combined phacoemulsification and NPDS procedure in the same session was found safe and effective in decrease of IOP, number of antiglaucoma medications and increase of BCVA in patients with PEG and cataract. Keywords : Pseudoexfoliative glaucoma, cataract, non-penetrant deep sclerectomy