What intra-op and post-op strategies maximize the longevity of a functional bleb in younger patients?

Great question, and one which I hope others will chime in on. Intraoperatively, I really want to ensure a broad dissection of Tenon's capsule from the underlying sclera to allow diffuse flow of aqueous into the subconjunctival space. I inject MMC (0.2mg/ml) rather than use sponges, so I like to ensu...

I agree with Dr. @Dr. First Last. Broad, extensive, and posterior dissection of Tenon’s/conjunctiva. I also tie my sutures tight with minimal flow, and plan LSL post-op at about 2 weeks. I standardize my flap (triangle) and place the same 3 flap sutures. I use sponges (2 half circular cornea shield)...