I recently read about a new procedure for glaucoma. The surgeon makes a small incision to access the anterior chamber (often using the phaco wound during phaco) and under a goniolens (like a Koeppe lens) or using an endoscope, applies a special probe to the distal trabecular meshwork and ablates until the Schlemm’s canal is reached (some blood reflux is noted at this point). About ten openings are made. The results looked pretty good, and what’s nice is that ther’s no bleb and no bridges are burned- can always do a trab later. Apparently it has been used in Europe for several years with good success.