Evaluation of Phacogoniotomy in Medically-controlled POAG

Phacogoniotomy Study for Glaucoma Treatment

In this study, doctors want to see if a special surgery called **phacogoniotomy** is as good as using medicine to treat a kind of eye disease called **primary open-angle glaucoma (POAG)**. *Phacogoniotomy* is a surgery that combines removing a cloudy lens (cataract) and using a tiny tool to help fluid drain better in the eye. The main goal is to check if this surgery can lower eye pressure as well as medicines do. This study is important because eye drops can have side effects and can be expensive. Participants will be randomly chosen to have either the surgery or medicine and will be checked for a whole year. People aged 40-85 with controlled POAG and cataracts can join if they meet certain requirements. The study checks if this surgery can improve life and reduce the need for medicines.

• Study lasts for 1 year, with regular check-ups.
• Participants will get either surgery or medicine, not both.
• The study aims to see if surgery helps reduce medicine use and costs.