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ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Twelve-month outcomes after open bleb revision for Preserflo

Johanna Darmon, Paul Bastelica, Mathilde Huard, Karine Lagrené, Esther Blumen-Ohana, Emmanuelle Brasnu, Antoine Rousseau, Pascale Hamard, Jean-Philippe Nordmann, Zohra Brouk and 3 more

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Johanna DarmonInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France. darmonjo@gmail.com.
Paul BastelicaInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Mathilde HuardInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Karine LagrenéCIC 1423, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, INSERM-DGOS, Paris, France.
Esther Blumen-OhanaInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Emmanuelle BrasnuInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Antoine RousseauInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Pascale HamardInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Jean-Philippe NordmannInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Zohra BroukInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Juliette BuffaultInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Christophe BaudouinInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.
Antoine LabbéInstitut universitaire du Glaucome, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the 12-month efficacy and safety of open bleb revision (OBR) for Preserflo PATIENTS AND

methodsAll consecutive patients who underwent PMS OBR for primary bleb failure between April 2019 and July 2024 at the Hôpital National des Quinze-Vingts (Paris, France) were retrospectively included. The primary endpoint was assessed at 6 and 12 months as surgical success, defined as an intraocular pressure (IOP) ≤ 21 mmHg with a ≥ 20% reduction in IOP using the same or fewer hypotensive treatments, with no additional glaucoma surgery, no chronic hypotony, and no loss of light perception. All complications during follow-up were analyzed.

resultsA total of 87 patients who underwent PMS OBR for primary bleb failure were evaluated. Most patients presented with severe, refractory, glaucoma, as the mean number of glaucoma surgical procedures prior to the first PMS implant was 1.9 ± 1.4. 97% of patients had previously undergone major bleb-forming glaucoma surgery. The mean preoperative IOP was 30.2 mmHg with 1.8 ± 1.5 hypotensive treatments. OBR was performed after a median interval of 157 days. Success rate was 40.7% at 6 months, and dropped to 20.9% at 12 months. The mean IOP decreased to 20.2 ± 7.6 mmHg at 12 months, representing a significant decrease of 9.8 ± 9.3 mmHg (33%), with 1.7 ± 1.5 hypotensive treatments (p = 0.82). Transient postoperative hypotony was observed in 3 patients (3.5%). No serious complications were reported during follow-up, in particular no chronic hypotony.

conclusionFollowing OBR for PMS bleb failure, approximately 40% of patients achieved surgical success at 6 months, compared with 20% at 12 months. However, a significant reduction in intraocular pressure was maintained at 12 months, without a statistically significant reduction in medication burden.

Indexed as

Bleb fibrosisGlaucomaOpen bleb revisionPreserflo® MicroShunt

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.