Evidence map›Paper›PMID 25448999›Full record

ArticleAmerican journal of ophthalmology2015

Retinal detachment associated with AIDS-related cytomegalovirus retinitis: risk factors in a resource-limited setting.

Michael Yen, Jenny Chen, Somsanguan Ausayakhun, Paradee Kunavisarut, Pornpattana Vichitvejpaisal, Sakarin Ausayakhun, Choeng Jirawison, Jessica Shantha, Gary N Holland, David Heiden and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06250881 (Analysis of Ocular Complications of AIDS Patients in Ophthalmic Consultation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT06250881 unknown statusnot on this mapstarted 2023, after this paper: background citation

Analysis of Ocular Complications of AIDS Patients in Ophthalmic Consultation

TypeobservationalSponsorZhongnan HospitalRan2023 to 2024Enrolled500ConditionsOcular Complications in AIDS Patients, Such as Fundus Opportunistic Infections, Microangiopathy, and Uveitis
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Retinal detachment and mortality in patients with cytomegalovirus retinitis: A multicenter study in taiwan.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Cytomegalovirus retinitis and HIV: Case reviews from KwaZulu-Natal Province, South Africa.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2017
    Article
  11. Article
  12. Article
  13. Article
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

12 authors at 5 institutions in 2 countries.

Michael YenFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California; Icahn School of Medicine at Mount Sinai, New York, New York.
Jenny ChenFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California; Ocular Inflammatory Disease Center, Jules Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California.
Somsanguan AusayakhunDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Paradee KunavisarutDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pornpattana VichitvejpaisalDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Sakarin AusayakhunDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Choeng JirawisonDepartment of Ophthalmology, Nakornping Hospital, Chiang Mai, Thailand.
Jessica ShanthaFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California.
Gary N HollandOcular Inflammatory Disease Center, Jules Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California.
David HeidenDepartment of Ophthalmology and Pacific Vision Foundation, California Pacific Medical Center, San Francisco, California.
Todd P MargolisFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California; Department of Ophthalmology, University of California, San Francisco, San Francisco, California.
Jeremy D KeenanFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California; Department of Ophthalmology, University of California, San Francisco, San Francisco, California. Electronic address: jeremy.keenan@ucsf.edu.
University of California, San Francisco · USChiang Mai University · THCalifornia Pacific Medical Center · USDoheny Eye Institute · USNakornping Hospital · TH

Funding

Optimal trachoma control after mass antibiotic distributionsK23EY019071 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KEENAN, JEREMY DAVID · 2008 to 2012
$982k
NEI NIH HHS K23 EY019071NEI NIH HHS K23EY019071
6 · The paper itself

Abstract

purposeTo determine risk factors predictive of retinal detachment in patients with cytomegalovirus (CMV) retinitis in a setting with limited access to ophthalmic care.

designCase-control study.

methodsSixty-four patients with CMV retinitis and retinal detachment were identified from the Ocular Infectious Diseases and Retina Clinics at Chiang Mai University. Three control patients with CMV retinitis but no retinal detachment were selected for each case, matched by calendar date. The medical records of each patient were reviewed, with patient-level and eye-level features recorded for the clinic visit used to match cases and controls, and also for the initial clinic visit at which CMV retinitis was diagnosed. Risk factors for retinal detachment were assessed separately for each of these time points using multivariate conditional logistic regression models that included 1 eye from each patient.

resultsPatients with a retinal detachment were more likely than controls to have low visual acuity (odds ratio [OR], 1.24 per line of worse vision on the logMAR scale; 95% confidence interval [CI], 1.16-1.33) and bilateral disease (OR, 2.12; 95% CI, 0.92-4.90). Features present at the time of the initial diagnosis of CMV retinitis that predicted subsequent retinal detachment included bilateral disease (OR, 2.68; 95% CI, 1.18-6.08) and lesion size (OR, 2.64 per 10% increase in lesion size; 95% CI, 1.41-4.94).

conclusionBilateral CMV retinitis and larger lesion sizes, each of which is a marker of advanced disease, were associated with subsequent retinal detachment. Earlier detection and treatment may reduce the likelihood that patients with CMV retinitis develop a retinal detachment.

Indexed as

AdultAIDS-Related Opportunistic InfectionsCase-Control StudiesCytomegalovirus RetinitisFemaleHealth ResourcesHIV InfectionsHumansLogistic ModelsMaleRetinal DetachmentRisk FactorsThailandVisual Acuity

Identifiers

PMID25448999
PMCPMC4262697
OpenAlexW2082866482

What OpenQuestion holds

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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.