Evidence map›Paper›PMID 25601333›Full record

SynthesisActa ophthalmologica2015

Cataract surgery and age-related macular degeneration. An evidence-based update.

Line Kessel, Ditte Erngaard, Per Flesner, Jens Andresen, Britta Tendal, Jesper Hjortdal

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta ophthalmologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03944070 (Management of Patients With Neovascular Age-related Macular Degeneration Undergoing Cataract Surgery), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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.

NCT03944070 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Management of Patients With Neovascular Age-related Macular Degeneration Undergoing Cataract Surgery: A Pilot Study

TypeinterventionalSponsorOphthalmica Eye InstituteRan2018 to 2020Enrolled16ConditionsWet Macular Degeneration, Cataract ExtractionArmsRanibizumab
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Effect of Phacoemulsification on Visual Acuity and Macular Morphology in Patients with Wet Age-Related Macular Degeneration.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Usher Syndrome on the Island of Ireland: A Genotype-Phenotype Review.Investigative ophthalmology & visual science · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 4 institutions in 1 country.

Line KesselDepartment of Ophthalmology, Copenhagen University Hospital Glostrup, Glostrup, Denmark.
Ditte ErngaardDepartment of Ophthalmology, Naestved Hospital, Naestved, Denmark.
Per FlesnerOdense Eye Clinic, Odense, Denmark.
Jens AndresenSkanderborg Eye Clinic, Skanderborg, Denmark.
Britta TendalDanish Health and Medicines Authority, Copenhagen, Denmark.
Jesper HjortdalDepartment of Ophthalmology, Aarhus University Hospital NBG, Aarhus, Denmark.
National Board of Health · DKAarhus University Hospital · DKNæstved Sygehus · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAge-related macular degeneration (AMD) and cataract often coexist in patients and concerns that cataract surgery is associated with an increased risk of incidence or progression of existing AMD has been raised. This systematic review and meta-analysis is focused on presenting the evidence concerning progression of AMD in patients undergoing cataract surgery.

methodsWe performed a systematic literature search in the PubMed, Medline, Cochrane Library and CINAHL databases. Two randomized trials and two case-control trials were identified. Quality of the studies was assessed using the Cochrane risk of bias tool, data were extracted, and meta-analyses were performed. Quality of the available evidence was evaluated using the GRADE system.

resultsWe found that visual acuity at 6-12 months follow-up was significantly better (6.5-7.5 letters) in eyes that had undergone cataract surgery than in unoperated eyes, but the included number of subjects was small, and hence, the quality of evidence was downgraded to moderate. We did not find an increased risk of progression to exudative AMD 6-12 months after cataract surgery [RR 3.21 (0.14-75.68)], but the included number of subjects was small, and thus, the quality of the evidence was moderate.

conclusionCataract surgery increases visual acuity without an increased risk of progression to exudative AMD, but further research with longer follow-up is encouraged.

Indexed as

Cataract ExtractionCataractDatabases, FactualDisease ProgressionHumansRisk FactorsVisual AcuityWet Macular Degenerationage-related macular degenerationcataract surgeryexudative age-related macular degenerationoutcomevisual acuity

Identifiers

PMID25601333
PMCPMC6680180
OpenAlexW2004395878

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.