Inclusion criteria |
Age 18 to 85 years |
Inadequately controlled glaucoma with IOP > 18 mm Hg and < 40 mm Hg on maximum tolerated medical therapy |
Previous cataract extraction with intraocular lens implantation, trabeculectomy, or both |
Exclusion criteria |
Unwilling or unable to give consent, unwilling to accept randomization, or unable to return for scheduled protocol visits |
Pregnant or nursing women |
No light perception vision |
Active iris neovascularization or active proliferative retinopathy |
Iridocorneal endothelial syndrome |
Epithelial of fibrous downgrowth |
Aphakia |
Vitreous in the anterior chamber for which a vitrectomy is anticipated |
Chronic or recurrent uveitis |
Severe posterior blepharitis |
Unwilling to discontinue contact lens use after surgery |
Previous cyclodestructive procedure, scleral buckling procedure, or silicone oil present |
Conjunctival scarring precluding a trabeculectomy superiorly |
Need for glaucoma surgery combined with other ocular procedures (i.e. cataract surgery, penetrating keratoplasty, or retinal surgery) or anticipated need for additional ocular surgery |