We thank Dr. Jansonius for his interest and thoughtful comments on our paper (Jung et al. 2013). We investigated the relationship between the tube length and intra-ocular pressure (IOP) from understanding the Poiseuille's equation. As a result, the tube length was significantly correlated with final IOP in subgroups with two glaucoma medications. That finding has to be explained in many aspects including cellular and molecular response as well as physical equation. We agree that an increase in IOP per mm increase in tube length is not huge by computing the equation as you calculated. However, Poiseuille's law definitely supports the direction of the relationship between the tube length and IOP in our study, even though the effect of it is not great. Postoperative IOP may be determined by aqueous flow both through tube and the bleb surrounding the endplate (Schwartz et al. 2006; Minckler et al. 2008). The tube made of silicone may cause cellular response and inflammation in anterior chamber or changes in the composition of the aqueous humour after glaucoma drainage valve implantation (Fiore et al. 1989; McDermott et al. 1993). Quantitatively, long tubes may develop more aggressive inflammatory cellular reaction in aqueous humour. That aqueous humour can flow to the endplate and induce severe fibrosis of bleb. That is, there is a possibility that the tube length affects the wound healing response of the bleb, although it is just an assumption. We suggest that the correlation between the tube length and IOP should be interpreted physically and biologically. Jansonius et al. mentioned that different tube lengths in eyes with various characteristics yielded our observation. We tried to find the confounding factor, but there was no significant association between tube length and diagnosis, age, axial length or preoperative IOP. We agree that surgeons should consider the tube retraction when trimming the tube. As we mentioned in our study, customization of the tube length for individual patient is definitely important for clinical application of glaucoma drainage valve. However, there is also a need to contemplate that too long tube is not unconditionally better to postoperative outcome physically and biologically. Further study will be needed to determine the effects of long tube on cellular events in anterior chamber and wound healing response of the bleb.