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All patients underwent Ex-PRESS implantation (including combined cataract surgery). The outcome measure was the survival rate using life table analysis, the\u00a0failure was\u00a0defined as IOP of\u2009&gt;\u200918\u00a0mmHg (criterion A),\u2009&gt;\u200915\u00a0mmHg (criterion B) or\u2009&gt;\u200912\u00a0mmHg (criterion C) and\/or IOP reduction of\u2009&lt;\u200920% from baseline (each criterion) without any glaucoma medications. The Cox proportional hazards model was used to identify risk factors for IOP management defined as the above criterion.\u00a0<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean preoperative IOP was 19.3\u2009\u00b1\u20095.8\u00a0mmHg. At 36\u00a0months, the mean IOP was 11.8\u2009\u00b1\u20093.6\u00a0mmHg with a mean IOP change of 7.5\u00a0mmHg (reduction rate 39.0%). The cumulative probability of success was 58% (95%CI: 42\u201364%) (criterion A), 48% (95%CI: 37\u201359%) (criterion B) and 30% (95%CI: 20\u201340%) (criterion C). In multivariate analyses, factors that predicted poor IOP control included the intervention of bleb needling after 6\u00a0months after the surgery (HR: 2.43; 95%CI: 1.35\u20134.37; <jats:italic>P<\/jats:italic>\u2009=\u20090.032). Transient hypotony was observed in 4 patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The implementation of bleb needling after Ex-PRESS surgery in the late postoperative period was suggested to be the main risk factor for achieving lower IOP.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00417-023-06209-8","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T08:02:34Z","timestamp":1692950554000},"page":"191-201","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Contributing factors for intraocular pressure control in patients with mostly normal-tension glaucoma after initial Ex-PRESS drainage device implantation"],"prefix":"10.1007","volume":"262","author":[{"given":"Yurika","family":"Aoyama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1411-1476","authenticated-orcid":false,"given":"Rei","family":"Sakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Fujishiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megumi","family":"Honjo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiroaki","family":"Shirato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Aihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,8,25]]},"reference":[{"key":"6209_CR1","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1097\/icu.0000000000000236","volume":"27","author":"AK Sawchyn","year":"2016","unstructured":"Sawchyn AK, Slabaugh MA (2016) Innovations and adaptations in trabeculectomy. 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