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Larger, more comprehensive cohort studies are essential. Both groups exhibited comparable outcomes regarding IOP and glaucoma medication reduction, success rates, and postoperative complication incidence. Low-quality retrospective studies form the basis of much of the literature concerning refractory childhood glaucoma. We need more significant cohort studies to examine this phenomenon in greater depth. Despite the longstanding use of Community Directed Treatment with Ivermectin (CDTI) in the
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