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7 ± 0.9 in the AADI group and 2.2 ± 0.8 in the trabeculectomy group (P=.25). Surgical complications developed in 1 patient in each treatment group (P=.65). Cataract surgery was performed in 5 (42%) patients in the trabeculectomy group and no patients in the AADI group (P=.01). Placement of an AADI resulted in lower IOP and a higher rate of surgical success compared to trabeculectomy with MMC in eyes with glaucoma associated with aniridia. Cataract extraction was more frequently required after trabeculectomy with MMC than AADI implan