Late Bleb-related Endophthalmitis after Trabeculectomy with Adjunctive 5-Fluorouracil

Barbara Wolner, Jeffrey M. Liebmann, Joseph W. Sassani, Robert Ritch, Mark Speaker, Michael Marmor

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Abstract

The incidence of late-onset bleb-related endophthalmitis was evaluated retrospectively in 229 consecutive trabeculectomies performed with adjunctive 5-fluorouracil (5-FU) therapy. Mean follow-up was 23.7 ± 16.3 months (range, 3 to 60 months). Thirteen eyes (5.7%) of 11 patients developed blebrelated endophthalmitis an average of 25.9 ± 17.4 months (range, 5 to 58 months) after surgery. Infection occurred in 9 of 96 (9.4%) procedures performed from below and in 4 of 133 (3.0%) procedures performed superiorly (P = 0.05, Fisher's exact test). The relative risk of bleb-related endophthalmitis in trabeculectomy from below versus above is 4.0 after adjustment for age and sex (95% confidence interval = 1.1, 14.8). Trabeculectomy with adjunctive 5-FU performed from below carries an increased risk of late bleb-related infection. The incidence of late bleb-related endophthalmitis after 5-FU trabeculectomy appears to be higher than that for trabeculectomy without adjunctive 5-FU injections.

Original languageEnglish (US)
Pages (from-to)1053-1060
Number of pages8
JournalOphthalmology
Volume98
Issue number7
DOIs
Publication statusPublished - Jan 1 1991

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All Science Journal Classification (ASJC) codes

  • Ophthalmology

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