How do you balance medical management versus additional glaucoma surgery in patients with advanced glaucoma who develop IOP elevation after healing from a trabeculectomy revision for bleb leak complicated by prior suprachoroidal hemorrhage?

This is a very complicated case, and I will commend you for handling such a case. I would typically start with medical management, and if the glaucoma is sufficiently controlled, then that would be sufficient. However, given the progressive and complex nature of glaucoma, the pressures may not be ad...