Evidence map›Paper›PMID 26359188›Full record

Trial reportOphthalmology2015

Outcome of Treatment of Uveitic Macular Edema: The Multicenter Uveitis Steroid Treatment Trial 2-Year Results.

Oren Tomkins-Netzer, Susan Lightman, Lea Drye, John Kempen, Gary N Holland, Narsing A Rao, Richard J Stawell, Albert Vitale, Douglas A Jabs, Multicenter Uveitis Steroid Treatment Trial Research Group

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Corticosteroid implants for chronic non-infectious uveitis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Corticosteroid implants for chronic non-infectious uveitis.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Trial
  4. Trial
  5. Adalimumab biosimilars compared to originator: impact on uveitic macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Sub-Tenon's triamcinolone bridging to adalimumab therapy in refractory noninfectious uveitic macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  7. Article
  8. Article
  9. Safe Use of Corticosteroids in Non-Infectious Uveitis.Journal of inflammation research · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Corticosteroid implants for chronic non-infectious uveitis.The Cochrane database of systematic reviews · 2023
    Review
  14. Immunity status and expression of molecular markers (ICAM-1, CD5, CD25, CD95) on lymphocytes of patients with recurrent anterior uveitis complicated by macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
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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

10 authors at 7 institutions in 3 countries.

Oren Tomkins-NetzerThe Institute of Ophthalmology, University College London, London, United Kingdom.
Susan LightmanThe Institute of Ophthalmology, University College London, London, United Kingdom.
Lea DryeDepartment of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.
John KempenThe Departments of Ophthalmology and Epidemiology, the University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Gary N HollandUCLA Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California.
Narsing A RaoDepartment of Ophthalmology, USC Eye Institute, University of Southern California, Los Angeles, California.
Richard J StawellDepartment of Ophthalmology, Royal Victorian Eye & Ear Hospital, East Melbourne, Australia.
Albert VitaleDepartment of Ophthalmology, University of Utah, Salt Lake City, Utah.
Douglas A JabsDepartment of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland; Departments of Ophthalmology and Medicine, the Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: douglas.jabs@mssm.edu.
Multicenter Uveitis Steroid Treatment Trial Research Group
Johns Hopkins University · USUniversity College London · GBSouthern California Eye Institute · USThe Royal Victorian Eye & Ear Hospital · AUUniversity of California, Los Angeles · USUniversity of Pennsylvania · USUniversity of Utah · US

Funding

Multi-Center Uveitis Steriod Treatment (MUST) TrialU10EY014660 · NEI · JOHNS HOPKINS UNIVERSITY · PI HOLBROOK, JANET T. · 2004 to 2016
$33.6M
Multicenter Uveitis Steroid Treatment (MUST) TrialU10EY014655 · NEI · JOHNS HOPKINS UNIVERSITY · PI JABS, DOUGLAS A · 2004 to 2016
$4.6M
Environmental factors in the etiology of glaucomaR03EY014654 · NEI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI SCHENKMAN, JOHN B · 2004 to 2006
$431k
NEI NIH HHS R03 EY014654NEI NIH HHS U10 EY 014654NEI NIH HHS U10 EY 014655NEI NIH HHS U10 EY014655NEI NIH HHS U10 EY 014660NEI NIH HHS U10 EY014660
6 · The paper itself

Abstract

purposeTo evaluate the 2-year outcomes of uveitic macular edema.

designLongitudinal follow-up of a randomized cohort.

participantsAt baseline, 148 eyes of 117 patients enrolled in the Multicenter Uveitis Steroid Treatment (MUST) Trial had macular edema, and 134 eyes of 108 patients completed 2-year follow-up.

methodsPatients enrolled in the study were randomized to either systemic immunosuppression or intravitreal fluocinolone acetonide implant therapy. Macular edema was defined as thickening of the retina (center point thickness≥240 μm) on time-domain optical coherence tomography (OCT) of macula.

main outcome measuresImprovement in macular edema (≥20% reduction in central point thickness on OCT), resolution of macular edema (normalization of thickness on OCT), and best-corrected visual acuity (BCVA).

resultsBetween randomization and 2-years' follow-up, 62% and 25% of eyes in the systemic and implant groups, respectively, received at least 1 supplemental regional corticosteroid injection. By 2-years' follow-up, macular edema improved in 71% of eyes and resolved in 60%. There were no differences between treatment groups in the proportion of eyes with macular edema improving (systemic therapy vs. implant, 65% vs. 77%; P=0.20) and resolving (52% vs. 68%; P=0.28), but eyes randomized to implant had more improvement in macular thickness (median decrease of 180 vs. 109 μm in the systemic therapy group; P=0.04). Eyes with baseline fluorescein angiographic leakage were more likely to improve than those without (76% vs. 58%; P=0.03). Overall, there was a mean 5-letter (1 line) improvement in BCVA at 2 years. Mean changes in BCVA from baseline at 2 years by macular edema response status were: resolution, +10 letters; improvement without resolution, +10 letters (P=0.92); little to no change, 6 letters (P=0.19); and worsening, -16 letters (worsening acuity; P=0.0003).

conclusionsAbout two thirds of eyes with uveitic macular edema were observed to experience improvement in the edema and visual acuity with implant or systemic treatment. Fluocinolone acetonide implant therapy was associated with a greater quantitative improvement in thickness. Fluorescein angiography leakage was associated with a greater likelihood of improvement in macular edema.

Indexed as

Administration, OralAdultAgedDrug ImplantsFemaleFluocinolone AcetonideFluorescein AngiographyFollow-Up StudiesGlucocorticoidsHumansIntravitreal InjectionsMacular EdemaMaleMiddle AgedPrednisoloneProspective StudiesDrug ImplantsFluocinolone AcetonideGlucocorticoidsPrednisolone

Identifiers

PMID26359188
PMCPMC4624003
OpenAlexW1865261266

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.