In patients with glaucoma who are not ideal candidates for goniotomy, angle stenting, tubes, or trabeculectomy, does the use of AlloFlo provide safe and predictable IOP control compared to other surgical options?

I am cautiously optimistic in this situation, one in which we frequently find ourselves in tertiary care glaucoma practices. I will say that it is helpful to have another option that seems (so far) to be safe, even in severe glaucoma cases. Unfortunately, we are not really going to know about the pr...

I have used it on one patient with severe glaucoma and a poor filtration bleb candidate. Bilateral implants. Pre-surgery IOP mid 20’s 4 meds. Now on latanoprost OU, IOP 15 OU. Now PO 3-4 months.

Alloflo literature I believe shows a 40% reduction in IOP with a 40% reduction in medications at the 2-3 ...

In a patient as described above, I believe a supraciliary approach using AlloFlo would be a great option. However, I doubt if AlloFlo surgery will result in a predictable outcome.

If not yet tried, a diode cyclodestruction may also be considered as long as the 3 and 9 o'clock locations are avoided.