XXXX needle bleb revision in @entity10064 .

@entity1 @entity82 @entity548 @entity4530 @entity1713 @entity1138 @entity177 @entity1139 @entity735 @entity3303 @entity10064
PURPOSE AND SETTINGS: This study was designed to evaluate the efficacy and safety of @entity1138 ( @entity1139 ) augmented needling procedure in the management of failed bleb after trabeculectomy in @entity10064 . This study was carried out at Ain Shams University Hospital. @entity1 AND METHODS: A retrospective study was carried on 30 eyes of 25 @entity1 with @entity10064 with @entity177 after trabeculectomy. The mean age of the subjects was 7.3    3.4 years (range, 1-12 years). Under general anesthesia, needling procedure was performed with adjunctive use of a mixture of 0.1 mL of @entity1139 (0.04 mg/mL) and 0.2 mL of @entity3303 1% injected subconjunctivally. Needling was performed with a 30-gauge needle to dissect the areas of subconjunctival @entity82 and re-establish aqueous outflow. RESULTS: Follow-up ranged from 6 to 20 months (mean, 9.23    5.25 months). One needling revision was performed in 22 eyes (73.3%) and eight eyes (26.7%) received two needle revisions. The mean intraocular pressure (IOP) decreased from 26.9    2.85 mmHg (range, 21-34 mmHg) before surgery to 15.63    3.15 mmHg (range, 10-24 mmHg) at last follow-up. Complications included significant @entity548 in six eyes, intraoperative @entity4530 in two eyes, @entity1713 in one eye, and minimal @entity735 . CONCLUSION: @entity1139 needle bleb revision appears to be an effective method to revive failed filtration surgery after trabeculectomy in @entity1 with @entity10064 . This technique is effective in reducing IOP with preservation of the remaining conjunctiva for further surgery.
