Clear, practical glaucoma-surgery insights from Professor Keith Barton

Glaucoma Insights Blog

Practical Insights on Glaucoma Surgery: From MIGS to Trabeculectomy

Explore evidence-based perspectives on glaucoma surgical techniques, including minimally invasive glaucoma surgery (MIGS), tube shunt procedures, and trabeculectomy. Professor Keith Barton shares clinical insights drawn from decades of surgical experience, what works in practice, potential complications to anticipate, and how surgical approaches are advancing.

These insights are designed for ophthalmologists and glaucoma specialists seeking clear, practical guidance on surgical decision-making, technique refinement, and patient outcomes, without unnecessary complexity.

Trabeculectomy revision for hypotony maculopathy with pericardial patch and scleral flap repair

Revising a Trabeculectomy for Hypotony with Pericardium

Surgical revision of trabeculectomy for hypotony maculopathy using pericardium patch, bleb capsule excision, and adjustable...
XEN bleb excision and Paul Glaucoma Implant insertion showing anterior segment surgery and conjunctival closure

Removal of a Dysaesthetic Overhanging Xen Gel Implant Bleb and Insertion of a Paul Glaucoma Implant

Surgical management of a dysaesthetic XEN bleb with excision and conversion to a Paul Glaucoma...
PRESERFLO MicroShunt revision surgery showing fibrosis removal, ripcord flow control, and tube implantation conversion

Revising a PRESERFLO MicroShunt, Including Removal if Implanting a Tube

Step-by-step PRESERFLO revision for bleb failure, including capsule dissection, flow modulation, and removal during tube...
Baerveldt plate erosion revision surgery with implant removal and replacement using a Paul glaucoma implant

Baerveldt Plate Erosion – Technique for Removal and Replacement with a Paul Glaucoma Implant

Surgical management of Baerveldt plate erosion with implant removal, posterior repositioning, and replacement using a...
Intraoperative Paul glaucoma implant ligature adjustment demonstrating control of aqueous overdrainage and flow modulation

Paul Glaucoma Implant Surgery – What To Do in the Case of Overdrainage

Paul implant overdrainage management demonstrating how to titrate 10-0 nylon ligature tension to control excessive...
External cyclopexy ciliary body tear repair with scleral flap exposure and suprachoroidal access in chronic hypotony after Yamane IOL

Diagnosis and Management of Another Case of Chronic Hypotony after a Yamane IOL Procedure

Chronic hypotony after Yamane IOL caused by ciliary body tear, identified on UBM and repaired...
scleral fixation hypotony repair in Yamane IOL case

External cyclopexy for ciliary body tear repair in Yamane-related hypotony

External cyclopexy for ciliary body tear repair in Yamane-related hypotony is demonstrated in this case...
Carlevale IOL haptic erosion repair in recurrent exposure with scleral recession and patch graft

Carlevale Haptic IOL Erosion Repair in Recurrent Exposure

Carlevale IOL haptic erosion repair in recurrent exposure using scleral recession, patch grafting and conjunctival...
Paul Glaucoma Implant after scleral buckle removal, three-month result

Paul Glaucoma Implant After Removal of 360 Degree Scleral Buckle – 3 Month Update

Paul Glaucoma Implant after 360° scleral buckle removal showing three-month results with good pressure control...
Paul Glaucoma Implant surgery following scleral buckle removal

Buckle out, Paul Glaucoma Implant In

Step-by-step PGI placement in a scarred eye: buckle removal, space creation, MMC, secure plate and...