Eye Diseases
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1. Eye with failed bleb after one single trabeculectomy or after one single trabeculectomy with phacoemulsification; 2. Patients with follow up at least 3 months after the index surgery; 3. Definition of failed trabeculectomy: a. IOP>22mmHg on maximum tolerable anti-glaucoma drugs; b. Fibrotic or scarred bleb with IOP higher than the target pressure for the patient. 4. Patients able and willing to give informed consent.
Exclusion criteria
Exclusion criteria: Exclusion criteria; 1. Single functional eye; 2. Patients with previous glaucoma operations, including more than one trabeculectomy, needling, glaucoma drainage device or cyclophotocoagulation procedures; 3. Patients refusing needling or trabeculectomy; 4. Patients unable to attend regular follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a. IOP reduction in intraocular pressure by 2 criteria (30% reduction) b. number of IOP-lowering medications; | — |
Secondary
| Measure | Time frame |
|---|---|
| a. complications of treatment b. progression of disc changes and/or visual field loss c. need of subsequent surgical intervention; | — |
Countries
China