In patients with end-stage glaucoma requiring surgery (cataract or incisional glaucoma surgery), how do you approach discussion of possible "snuff" and how does this factor in your decision to proceed with surgery?

I have operated on hundreds, if not thousands, of patients with end-stage glaucoma over my career. Many CAT IOL + bleb surgery or Cat IOL alone. I cannot remember a snuff directly related to surgery. Judicious use of ER acetazolamide immediately postoperatively goes a long way. If cat IOL alone and ...

If a patient requires surgery to control his progressive glaucoma, I do not hesitate to perform it despite a very remote possibility of snuff out. I have personally not seen a case in over forty years of practice. Nevertheless, these patients require close follow-up to keep the IOPs in the target ra...

For those who don't discuss this how do you justify NOT raising this. Any intraocular surgery has the risk of loss of vision or loss of eye...please explain