Where there's a need, there are smart people who figure out ways to meet that need, even if some compromise is involved. And in prosound there is a need for wider coverage patterns at high frequencies than a large-format compression driver's throat diameter would normally allow.
A diffraction horn uses diffraction to widen the radiation pattern at high frequencies to give uniform coverage over a wider area than would otherwise be possible. Diffraction horns have an abrupt change in the wall angle which causes this. Many if not most prosound horns are, to some extent, diffraction horns. Sometimes there is a vertical slot at or near the throat, and sometimes an outward "kink" in the walls of the horn, and sometimes both. Diffraction horns arguably measure better than they sound, as their diffraction causes a type of distortion to which the ear is relatively insensitive at low volume levels, but to which the ear becomes increasingly sensitive as the volume level goes up.
Vanes are also used sometimes in the throat of a horn to widen the radiation pattern at high frequencies. My understanding is that vanes do not come with the same coloration issue as diffraction horns but their pattern shape can have lobing issues at high frequencies as the individual "cells" interact as if they were tiny horns.
Lenses are occasionally used on horns to widen the radiation pattern. Lenses operate by imposing a progressively longer path length on the sound at the edges of the horn's pattern than the path length down the middle, thereby bending the pattern so that its shape is wider than it would have been. My understanding is that, despite their rather intrusive appearance, lenses are fairly benign; Janszen used lenses on some of their electrostatic panels. Several JBL models used lensed horns, including the Hartsfield, and at least one (imo quite interesting) DIY-oriented manufacturer,
La Dolce Audio, uses horns with 3D printed lenses.
Finally, slot-like "waveguides" are often used on loudspeaker modules which are stacked to form line arrays or flown J-arrays in prosound applications. These are diffraction slots with little if any "horn". I am not a fan, but the practicality (in terms of audience coverage versus the amount of equipment needed) of line arrays and J-arrays has made them quite popular in prosound.