WAIKOLOA, Hawaii — Clinical research, personal experience, physician skill set, patient factors and goals all influence the decision to perform trabeculectomy or use a tube shunt, a speaker said here at Hawaiian Eye 2022.
“Individualize the treatment choice to the patient in front of you,” Brian E. Flowers, MD, said.
If the IOP target is low or if the patient is younger or has medication tolerance issues, he said the choice leans toward trabeculectomy. Those with significant conjunctival scarring might be better suited for an implant.
“The type of complications that you’re