Research Article

Impact of Topically Administered Steroids, Antibiotics, and Sodium Hyaluronate on Bleb-Related Infection Onset: The Japan Glaucoma Society Survey of Bleb-Related Infection Report 4

Table 3

Characteristics of the eyes administered steroids, antibiotics, or sodium hyaluronate.

SteroidAntibioticSodium hyaluronate
YesNoYesNoYesNo
Median (IQR)Median (IQR)Median (IQR)Median (IQR)Median (IQR)Median (IQR)

IOP(mmHg)
 Preinfection17 (13–19)0.84410 (8–12)0.06511 (8–14)0.1829 (7–13)0.19111 (7–14)1.00010 (8–13)0.562
 Postinfection19 (15–20)11 (8–15)13 (10–18)11 (8–15)13 (10–16)12 (8–16)

LogMAR VA
 Preinfection0.8 (0.4–1.2)0.0580.2 (0.0-1.0)0.0550.5 (0.0-1.5)0.0290.1 (0.0-1.0)0.0010.5 (0.1–1.8)0.2810.2 (0.0-1.0)0.001
 Postinfection1.7 (1.1-2.9)0.7 (0.0–2.7)1.3 (0.1-2.3)0.4 (0.0–2.7)1.3 (0.3–2.7)0.7 (0.0–2.7)
(%) (%) (%) (%) (%) (%)

Bleb morphology
 Total 100 (100%)13 (13.0)87 (87.0)39 (39.0)61 (61.0)16 (16.0)84 (84.0)
 Cystic5 (5.0)42 (42.0)0.68119 (19.0)28 (28.0)0.5068 (8.0)39 (39.0)0.849
 Diffuse8 (8.0)40 (40.0)20 (20.0)28 (28.0)7 (7.0)41 (41.0)
 Encapsulated0 (0.0)4 (4.0)0 (0.0)4 (4.0)1 (1.0)3 (3.0)
 Flat0 (0.0)1 (1.0)0 (0.0)1 (1.0)0 (0.0)1 (1.0)

Bleb vascularity
Total 99 (100%)13 (13.1)86 (86.9)38 (38.4)61 (61.6)16 (16.2)83 (83.8)
 Avascular9 (9.1)68 (68.7)0.46933 (33.3)44 (44.4)0.08112 (12.1)65 (65.7)0.818
 Partial avascular4 (4.0)16 (16.2)5 (5.1)15 (15.2)4 (4.0)16 (16.2)
 Vascular0 (0.0)2 (2.0)0 (0.0)2 (2.0)0 (0.0)2 (2.0)

Bleb leakage
Total 101 (100%)13 (12.9)88 (87.1)41 (40.6)60 (59.4)16 (15.8)85 (84.2)
 Leak (+)4 (4.0)37 (36.6)0.44524 (23.8)17 (16.8)0.0038 (7.9)33 (32.7)0.406
 Leak (−)9 (8.9)51 (50.5)17 (16.8)43 (42.6)8 (7.9)52 (51.5)

IOP: intraocular pressure; VA: visual acuity. P1: value for IOP and LogMAR distribution (preinfection versus 12 months postinfection by Wilcoxon signed-rank test). : value for bleb morphology, bleb vascularity, and bleb leakage variables (Mann–Whitney U tests). Avascular: avascular area of the blebs is ≥50%; Partial avascular: avascular area of the blebs is <50% but the blebs are not vascular; Vascular: blebs have no avascular area. Leak (+): number of patients with history of bleb leak prior to infection; Leak (−): number of patients without bleb leak prior to infection.