In choosing from the expanding list of options for glaucoma surgery, we should be seeking to optimise efficacy, safety and consider costs. An ideal glaucoma operation immediately results in: a stable pressure of 10mmHg without eye drops; no hypotony (pressures too low); should cost $10 and take 10 minutes. Of course, in reality, our surgical choices are far worse than this in every aspect and there are significant trade-offs between effectiveness and risk of complications.
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