How do you decide the best way to treat glaucoma in patients with ICE syndrome given their higher risk of surgical failure and corneal complications?

In general, patients with ICE syndrome have unilateral refractory disease that often requires surgical management. MIGS procedures are not typically effective given the angle anatomy and progressive nature of the disease, and I usually perform tube shunt surgery in these cases. Placing the tube deep...

I agree with Dr. @Dr. First Last. Tube shunts, in general, are really the only option. Sulcus placement or PP placement is preferred.

I want to know before surgery if special precautions to protect the endothelium are needed, such as higher-viscosity viscoelastics.