Evidence map›Paper›PMID 25335434›Full record

Trial reportBMC ophthalmology2014

Intraocular pressure rise is predictive of vision improvement after intravitreal triamcinolone acetonide for diabetic macular oedema: a retrospective analysis of data from a randomised controlled trial.

Roderick F O'Day, Daniel Barthelmes, Meidong Zhu, Tien Y Wong, Ian L McAllister, Jennifer J Arnold, Mark C Gillies

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00167518 (Phase II/III Intravitreal Triamcinolone for Treatment of Clinically Significant Diabetic Macular Oedema That Persists After Laser Treatment), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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.

NCT00167518 phase2 / phase3completednot on this map

Phase II/III Intravitreal Triamcinolone for Treatment of Clinically Significant Diabetic Macular Oedema That Persists After Laser Treatment

TypeinterventionalSponsorUniversity of SydneyRan2002 to 2005Enrolled70ConditionsDiabetic Macular OedemaArmsTriamcinolone acetate
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Basement membrane stiffening promotes retinal endothelial activation associated with diabetes.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2016
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Roderick F O'DayClinical Ophthalmology & Eye Health, The University of Sydney, Sydney, Australia. roderick.oday@gmail.com.
Daniel Barthelmes
Meidong Zhu
Tien Y Wong
Ian L McAllister
Jennifer J Arnold
Mark C Gillies
University of Sydney · AUNational University of Singapore · SGSydney Hernia Specialists Clinic · AUUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravitreal triamcinolone acetonide (IVTA) is an effective treatment for recalcitrant diabetic macular oedema (DMO). It has been shown to improve vision with benefits persisting up to five years. The most common initial side effect of IVTA treatment is rise in intraocular pressure, occurring in approximately 50% of patients within the first 6 months of treatment. We evaluated whether there is a correlation between the development of intraocular pressure rise and improvement in vision.

methodsAnalysis of individual data from 33 eyes of 33 participants treated with IVTA for DMO from a prospective, randomised, double-masked, placebo controlled trial. The degree of intraocular pressure (IOP) rise was correlated with improvement in best-corrected visual acuity (BCVA) at 1 and 6 months.

resultsThe proportion of eyes gaining 5 or more logMAR letters was higher in eyes with greater IOP rise (p = 0.044). Better absolute improvement in BCVA at 6 months (p = 0.045) was also found in eyes with greater IOP rise. Regression analyses revealed a correlation between IOP rise of 10 or more mmHg and absolute BCVA improvement at 6 months (odds ratio 1.22, 95% confidence interval 1.01-1.48, p = 0.039), but not at 1 month.

conclusionsIOP rise and vision improvement appear to be correlated following IVTA for DMO, suggesting that the mechanisms that cause both may be linked.

trial registrationClinical trials.gov NCT00167518, September 5, 2005.

Indexed as

AgedDiabetic RetinopathyDouble-Blind MethodFemaleGlucocorticoidsGlycated HemoglobinHumansIntraocular PressureIntravitreal InjectionsMacular EdemaMaleMiddle AgedProspective StudiesTriamcinolone AcetonideVisual AcuityGlucocorticoidsGlycated Hemoglobinhemoglobin A1c protein, humanTriamcinolone Acetonide

Identifiers

PMID25335434
PMCPMC4223852
OpenAlexW2082191126

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.