Glaucoma after vitreoretinal surgery is a common reality in clinical practice. Understanding the underlying process helps to determine the required therapy. In most cases, intraocular pressure can be controlled medically with surgery as a secondary option. However, as illustrated previously, some chronic pressure elevations may need a surgical intervention. Regardless, these complicated cases necessitate judicious communication with the retina specialist to ensure that all therapeutic goals are achieved on a case-by-case basis.