Clinical Study

Risk Factors for Tube Shunt Exposure: A Matched Case-Control Study

Table 1

Demographics/preoperative glaucoma patient characteristics and tube shunt implantation parameters.

VariableCasesControls valuea

Center, no. of cases/controls (%)1.000
 BPEI24 (58.5)46 (57.5)
 UTH17 (41.5) 34 (42.5)

Demographics
Sex (female, %)b25 (61.0)48 (60.0)1.000
Race/ethnicity, no. of patients (%)0.015c
 White12 (29.3)32 (40.0)
 Black9 (22.0)29 (36.3)
 Hispanic20 (48.8)17 (21.3)
 Asian 0 (0.0)2 (2.5)
Age, mean years (SD)64.2 (19.1)63.6 (20.2)0.8713

Comorbid systemic diseases
Diabetes, no. of eyes (%)12 (29.3)18 (22.5)0.5054
Hypertension, no. of eyes (%)17 (41.5)31 (38.8)0.8452

Baseline ocular information (before shunt implantation)
Type of glaucoma, no. of eyes (%)0.0235c
 Primary open angle glaucoma11 (26.8)38 (47.5)
 Neovascular glaucoma (NVG)9 (22.0)6 (7.5)
 Others21 (51.2)36 (45.0)
Preoperative intraocular pressure, mean mmHg (SD)30.8 (11.2)29.9 (10.1)0.6573
No. of IOP-lowering medications, mean (SD)2.1 (1.0)2.3 (1.1)0.4369
Previous trabeculectomy, no. of eyes (%)21 (51.2)26 (32.9)d0.0753
Previous tube shunt implantation, no. of eyes (%)4 (9.8)3 (3.3)0.2285
Previous laser procedure (ALT), no. of eyes (%)3 (7.3)6 (7.7)e1.000
Previous PK/PKP, no. of eyes (%)4 (9.8)6 (7.5)0.7324
Previous PRP/EL, no. of eyes (%)15 (36.6)6 (7.7)e0.0002c
Previous vitrectomy, no. of eyes (%)9 (22.0)9 (11.3)0.1755
Previous ocular surgeries, no. of eyes 3 or more (%)24 (58.5)22 (27.5)0.0014c

Tube shunt implantation parameters
Type of shunt device, no. of Baerveldt (%)40 (97.6)77 (96.3)1.000
Device location, no. of superotemporal (%)40 (97.6)73 (91.3)0.2633
Tube entry site, no. of anterior chambers (%)28 (92.7)74 (92.5)1.000
Type of patch graft used, no. of scleral patch grafts (%)29 (70.7)26 (62.5)0.3416
Combined surgery, no. of eyes (%)16 (39.0)19 (19.8)0.0928
 Combined with cataract, no. of eyes (%)6 (14.6)12 (15.0)1.000
 Combined with PKP, no. of eyes (%)2 (4.9)1 (1.3)0.2648
 Combined with vitrectomy, no. of eyes (%)9 (13.0)10 (12.5)0.1945

BPEI: Bascom Palmer Eye Institute; UTH: The University of Texas Medical School at Houston; NVG: neovascular glaucoma; PKP: penetrating keratoplasty; ALT: argon laser trabeculoplasty; PK: penetrating keratectomy; PRP: panretinal photocoagulation; EL: endolaser; SD: standard deviation; No.: number.
aObtained from two-sample -test for continuous variables and Fisher exact test for discrete variables.
bSex was used to match cases to controls.
cStatistically significant, .
dOne missing observation.
eTwo missing observations.
Note: 5 eyes combined with both cataract and vitrectomy (1 case, 4 controls).