Raised IOP post Trab

I'd be interested in my colleagues' thoughts. Patient with previous iris melanoma resected and 220 degree artificial iris inserted. 20 odd years ago. Vitrectomy and pseudophakic. Developed secondary OAG and underwent Trab 8 days ago. On the table eye went hypotonous and 2 x releasable and 3x fixed sutures placed to the trap door. Some haem at flap creation/PI. Post op IOP has been around 30 mmHg. Pulled 2 releasable and also laser suturlysed a suture. AC deep. Limited flow through flap with shallow diffuse bleb. Not sure why massage not helping.

Any thing i'm missing here? Id be grateful for your thoughts.


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