Incidence of bleb-associated endophthalmitis in the United States

Kamyar Vaziri, Krishna Kishor, Stephen G. Schwartz, Arindel S. Maharaj, Darius M. Moshfeghi, Andrew A. Moshfeghi, Harry W. Flynn

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Purpose: To evaluate the 5-year incidence rate of blebitis and bleb-associated endophthalmitis in the United States. Methods: In this retrospective cross-sectional study, we utilized a large commercial health insurance claim-based database during 2007–2011 and identified all patients who had a record of trabeculectomy in 2007. These patients were followed until the end of 2011. During the follow-up period, all incidences of blebitis, confirmed bleb-associated endophthalmitis, and presumed bleb-associated endophthalmitis were recorded. Kaplan–Meier survival analysis was utilized to calculate 5-year cumulative incidence rates of blebitis and bleb-associated endophthalmitis following trabeculectomy procedures. Results: Among the 1,461 trabeculectomies included in our analysis, eight cases of blebitis, five cases of confirmed bleb-associated endophthalmitis, and eight cases of presumed bleb-associated endophthalmitis were identified. We found that the 5-year cumulative incidence of blebitis was 0.55%±0.19%. The 5-year cumulative incidence of bleb-associated endophthalmitis was 0.45%±0.2% when only confirmed cases were included and 1.3%±0.34% when presumed cases were also added to the analysis. The mean time from procedure to diagnosis was 45 months for blebitis and 33 months for bleb-associated endophthalmitis. Conclusion: Blebitis and bleb-related endophthalmitis are uncommon in the United States. The 5-year cumulative incidence was 0.55% for blebitis and 0.45%–1.3% for bleb-associated endophthalmitis.

Original languageEnglish (US)
Pages (from-to)317-322
Number of pages6
JournalClinical Ophthalmology
StatePublished - Feb 12 2015


  • Bleb
  • Bleb-associated endophthalmitis
  • Blebitis
  • Trabeculectomy

ASJC Scopus subject areas

  • Ophthalmology


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