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. 2021 May 12;373:n1014. doi: 10.1136/bmj.n1014

Table 3.

Safety events (index eye where ocular). Values are numbers (percentages)

Events Trabeculectomy (n=227) Medical management (n=226)
No of participants with safety event 88 (39) 100 (44)
Serious adverse events
No of participants 12/226 (5) 8/226 (4)
No of events 13 8
Details:
 Death 5 4
 Life threatening 0 1
 Hospital admission 3 4
 Significant disability 2 0
 Important condition 3 1
 Expected event 3 2
Classification:
 General medical (death) 2 4
 Unclassified (death) 3 0
 General medical 2 3
 Related to glaucoma surgery 3 1
 General ophthalmology 1 0
 Non-glaucoma vision loss 1 0
 Glaucoma progression despite treatment 1 0
Adverse events
No of participants 84/222 (38) 93/221 (42)
No of events 139 155
Details:
 Drop related* 18 83
 Ocular surface related 29 37
 Non-specific 19 17
 Early bleb leak 12 3
 Hypotony (<6 mm Hg) requiring intervention 11 3
 Choroidal effusion 9 2
 Shallow anterior chamber 7 2
 Ptosis 5 1
 Hyphema 4 0
 Late bleb leak 4 0
 Potential adverse event related to surgery 3 1
 Cataract 1 2
 Conjunctival buttonhole 3 0
 Corneal epithelial defect 3 0
 Glaucoma progression 1 2
 Irreversible loss of ≥10 ETDRS letters§ 3 0
 Blebitis 2 0
 Suprachoroidal haemorrhage 2 0
 Endophthalmitis§—endogenous 1 0
 Endophthalmitis§—bleb related 0 1
 Persistent uveitis 1 0
 Macular oedema 0 1
 Non-specific unrelated uveitis 1 0

ETDRS=Early Diabetic Treatment Diabetic Retinopathy Study.

*

Includes drop allergy, drop intolerance, periorbital skin pigmentation, taste disturbance.

Includes dry eye, blepharitis, meibomitis, corneal epitheliopathy, conjunctivitis, itchy eye, watering eyes.

Non-specific blurred vision, retinal vascular occlusion, vitreomacular traction, chalazion, subconjunctival haemorrhage.

§

Also recorded as a serious adverse event.