Cataract Surgery vs Cataract Surgery With ECPL for Treatment of Plateau Iris Configuration or Syndrome

Inclusion Criteria: * Patient has to be ≥ 18 years of age of either gender * Nuclear sclerotic cataract graded by LOCS III to be \< 5 * Diagnosis of Plateau Iris Configuration or Syndrome * No contraindication for cataract or ECPL operation * Written informed consent on IRB approved Informed Consent Form Exclusion Criteria: * Hard cataracts, LOCS III 5 and 6 * Ciliary body cysts * Clinically significant sequelae from trauma in which angle anatomy/physiology may have been compromised (e.g., chemical burns, significant angle recession, blunt trauma, etc.) * Congenital anomaly of the irido-trabecular angle * Previous intraocular surgery * Previous laser gonioplasty to either eye * Placement of the intraocular lens in any place other than the capsular bag * Pupilloplasty * Rubeosis * Peripheral anterior synechiae (PAS) nasal angle and/or \>180 degrees of PAS * Neovascular glaucoma; or glaucoma associated with vascular ischemic disorders * Active corneal inflammation or edema (e.g., keratitis, keratoconjunctivitis, keratouveitis) * Corneal opacities or disorders that would inhibit visualization of the nasal angle * Chronic ocular inflammatory disease or presence of active ocular inflammation with risk for synechial/proliferative changes * Inability to attend regular follow-up assessment or to give informed written consent.