IRCT20210901052357N1 IRCT 2022-01-04 Iran University of Medical Sciences Comparison surgical outcome of primary phaco-shunt versus primary phacotrabeculectomy Comparison of the surgical outcome of primary phaco-shunt versus primary phacotrabeculectomy in patients with concomitant cataract and glaucoma: A Randomized Clinical Trial 2021-09-22 anticipated 80 Complete https://irct.ir/trial/58518 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: For randomization, we will use the random block method so that the number of samples in the two groups is the same. The blocks are considered as 4, with a and b representing the two study groups. All possible permutations for a block of 4 are as follows: aabb, abba, abab, bbaa, baab, baba. From these 6 permutations, one block will be selected at a simple random time. The reason for this is to reduce the likelihood that final allocations will be predictable. After selecting the block, the person will be assigned to group a or b in the same way. N/A Condition 1: Glaucoma. Condition 2: Cataract. Intervention 1: Intervention group: The group undergoing combined phaco-shunt surgery. In this method, Ahmad shunt valve model FP7 (New World Medical, LA) will be used, which is one of the most common shunts used in the world. First, the shunt is fixed and then cataract surgery is performed by phaco method. Finally, the shunt tube enters the eye and fixed with naylon 10.0 suture and then the conjunctiva close with 8-0 vicryl sutures . Postoperative patients undergo regular examinations according to a specific protocol to evaluate the effectiveness as well as possible complications. Intervention 2: Intervention group: The group undergoing combined phacotrabeculectomy surgery.In this method, patients are first subjected to cataract surgery by phaco method. Then trabeculectomy in the superior region begins with conjunctival peritomy. Then MMC material with a dose of 0.04% for 2 minutes is used to reduce postoperative fibrosis. Finally, a sclera flap is created and a keratectomy and an irdectomy are performed, and all incisions are closed with nylon 10.0 sutures. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.