The most popular glaucoma surgery is still trabeculectomy, which is still regarded as the gold standard in the field (and is frequently carried out with an antimetabolite like mitomycin-C today). It has a high success rate across most patient populations and glaucoma diagnoses, especially in the hands of a skilled surgeon. However, as more modern alternatives have emerged, its popularity has been progressively dwindling. Currently, the installation of a tube shunt—typically an Ahmed or Baerveldt device—seems to be the most popular alternative surgical procedure. When treating diagnoses like neovascular glaucoma, uveitic glaucoma, iridocorneal endothelial syndrome, fibrous ingrowth, epithelial downgrowth, or patients who have undergone prior vitreoretinal surgery or penetrating keratoplasty, where the success rate for trabeculectomy is much lower, these alternatives can be especially helpful.
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