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PDF File Article: Phacocanaloplasty: Combining Canaloplasty with Cataract Surgery. Phacocanaloplasty, a new procedure, can safely reduce intraocular pressure in cataract surgery patients with open-angle glaucoma. In the past, surgical treatment for glaucoma generally meant either trabeculectomy or tube shunt surgery. Surgeons treating patients with both glaucoma and cataract had relatively few good options. On one hand, performing incisional glaucoma surgery alone to address the patient’s glaucoma could make the cataract worse.