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 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.