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Description:First of all, the standard method of needling is a very successful approach for the rehabilitation of aqueous outflow in non-functional encapsulated blebs. Second, the early postoperative period is accompanied by low IOPs, which have the potential to cause known complications, such as anterior chamber swallowing, choroidal effusion or subchoroidal hemorrhage possibly leading to severe visual impairment. Third, it was possible to achieve a smooth and adjustable IOP reduction avoiding early ocular hypotony by performing additional transconjunctival sutures on the scleral flap.

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