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...