Rates of hypotony for different surgical techniques.

Rates of hypotony for different surgical techniques.

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For decades, trabeculectomy (TE) was considered the gold standard for surgical treatment of open-angle glaucoma owing to its powerful intraocular pressure (IOP)-lowering potency. However, owing to the invasive nature and high-risk profile of TE, this standard is changing, and minimally invasive procedures are becoming more preferable. In particular...

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... is particularly important for the often preterminal papillary situation of many difficult glaucomas and may help to prevent the wipeout phenomenon. On the other hand, TE has a very high hypotony rate of more than one-third, of which nearly 20% last longer than 3 months and carry a high risk of long-term damage to the optic nerve fibers [23] (Table 1). An important new indication is preoperated eyes after failed TE [27][28][29]. ...

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