Evidence map›Paper›PMID 16723360›Full record

Trial reportThe British journal of ophthalmology2006

The effect of pars plana vitrectomy on cystoid macular oedema associated with chronic uveitis: a randomised, controlled pilot study.

P Tranos, R Scott, H Zambarakji, H Zambarajki, W Ayliffe, C Pavesio, D G Charteris

Erratum issuedOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of ophthalmology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 75 citations in OpenAlex.

  1. Trial
  2. Therapeutic vitrectomy for non-infectious uveitis.The Cochrane database of systematic reviews · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Outcomes of pars plana vitrectomy in the management and diagnosis of patients with infectious, non-infectious, and unidentified uveitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  7. Article
  8. Vitreoretinal surgery in the management of infectious and non-infectious uveitis - a narrative review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Review
  9. Mechanisms of macular edema.Frontiers in medicine · 2023
    Review
  10. Increased vitreous levels of B cell activation factor (BAFF) and soluble interleukin-6 receptor in patients with macular edema due to uveitis related to Behçet's disease and sarcoidosis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  11. Update in treatment of uveitic macular edema.Drug design, development and therapy · 2019
    Review
  12. Review
  13. Article
  14. Article
  15. Cataract surgery in uveitis.International journal of inflammation · 2012
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

  • Erratum issued
    Zambarajki, H [corrected to Zambarakji, H]
5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

P TranosDepartment of Vitreoretinal Surgery, Moorfields Eye Hospital, London, EC1V 2PD, UK.
R Scott
H Zambarakji
H Zambarajki
W Ayliffe
C Pavesio
D G Charteris
Moorfields Eye Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy of pars plana vitrectomy (PPV) in the management of chronic uveitic cystoid macular oedema (CMO).

methodsA prospective, interventional, randomised, controlled, pilot study. 23 eyes of 23 patients with CMO secondary to chronic intermediate or posterior uveitis unresponsive to medical treatment were randomised into a surgical (group S) or medical group (group M). 12 patients in group S underwent PPV as opposed to 11 patients in group M who received systemic corticosteroid and/or immunosuppressive treatment during the study period. The primary outcome measures of the study were change in visual acuity and angiographic appearance of CMO at 6 months.

resultsMean visual acuity in group S improved significantly from 1.0 (0.62) at baseline to 0.55 (0.29) at 6 months following vitrectomy (p = 0.011), with five (42%) eyes reaching vision of 20/40 or better. Conversely, mean visual acuity in group M improved only marginally by 0.03 (0.27) (p = 0.785). CMO after vitrectomy was angiographically improved in four (33%) eyes, remained unchanged in seven (58%) eyes, and deteriorated in one (8%) eye. In the medical group, fluorescein leakage decreased in one eye, did not alter in four eyes, and deteriorated in two eyes.

conclusionPPV for macular oedema secondary to chronic uveitis despite angiographic improvement in only one third of the patients, seems to have a significant beneficial effect on visual function. This study provides enough evidence to justify a large scale trial which would define the role of vitrectomy in uveitic macular oedema.

Indexed as

AdultAgedChronic DiseaseFemaleFluorescein AngiographyGlucocorticoidsHumansImmunosuppressive AgentsMacular EdemaMaleMiddle AgedPilot ProjectsProspective StudiesTreatment OutcomeUveitis, IntermediateUveitis, PosteriorGlucocorticoidsImmunosuppressive Agents

Identifiers

PMID16723360
PMCPMC1857372
OpenAlexW2152111884

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.