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Artifacts are highly prevalent on both circumpapillary RNFL and macular scans on SDOCT images obtained in a glaucoma clinic. Artifacts can lead to false-positive and false-negative explanation of progression when making use of only the auto-segmentation change maps. Therefore, cautious examination of the natural B-scan pictures of both the RNFL and macula is crucial to spot artifacts and real glaucoma progression. Most reports of strabismus after glaucoma drainage device impla