Evidence map›Paper›PMID 27175359›Full record

ArticleOcular oncology and pathology2014

Endodrainage, Tumor Photocoagulation, and Silicone Oil Tamponade for Primary Exudative Retinal Detachment due to Choroidal Melanoma Persisting after Proton Beam Therapy.

Ira Seibel, Dino Cordini, Gregor Willerding, Aline Isabel Riechardt, Antonia Maria Joussen

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Ocular oncology and pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02379000 (Transpupillary Thermotherapy), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT02379000 phase4unknown statusnot on this mapstarted 2015, after this paper: background citation

Transpupillary Thermotherapy (TTT) Alone Versus the Combined Therapy Consisting of TTT and Intravitreal Injection of Triamcinolone to Decrease Exudation in Choroidal Melanoma After Proton Beam Therapy

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2015 to 2018Enrolled50ConditionsExudative Retinal Detachment, Uveal MelanomaArmsTriamcinolone Acetonide, Transpupillary thermotherapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Breakdown of the blood-eye barrier in choroidal melanoma after proton beam radiotherapy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    Article
  4. Predictive risk factors for radiation retinopathy and optic neuropathy after proton beam therapy for uveal melanoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2016
    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

5 authors at 1 institution in 1 country.

Ira SeibelDepartment of Ophthalmology, Charité University Medicine Berlin, Germany.
Dino CordiniDepartment of Ophthalmology, Charité University Medicine Berlin, Germany; BerlinProtonen, Helmholtz-Zentrum Berlin für Materialien und Energie, Berlin, Germany.
Gregor WillerdingDepartment of Ophthalmology, Charité University Medicine Berlin, Germany; Klinik für Augenheilkunde an den DRK Kliniken Berlin/Westend, Berlin, Germany.
Aline Isabel RiechardtDepartment of Ophthalmology, Charité University Medicine Berlin, Germany.
Antonia Maria JoussenDepartment of Ophthalmology, Charité University Medicine Berlin, Germany.
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChoroidal melanoma is frequently accompanied by an exudative retinal detachment that can persist after proton beam therapy. This study investigates whether vitrectomy without tumor resection improves the clinical outcome.

methodsThis is a retrospective interventional case series. Twenty patients with choroidal melanoma with exudative retinal detachment involving the macula were treated by vitrectomy, endodrainage, photocoagulation, and silicone oil tamponade after proton beam therapy.

resultsThe mean follow-up was 38.4 months (median 21.5, range 12.0-122.0). The mean time between proton beam therapy and surgery was 4.5 months (range 0.1-9.2). Reattachment was achieved in 95% of the patients after one vitrectomy. One patient was lost to follow-up because enucleation was performed after 45.9 months due to a secondary glaucoma. Mean visual acuity decreased from 1.1 to 1.8 logMAR before vitrectomy and after 4 years, respectively. No patient showed local tumor recurrence. Metastatic disease was present in 1 patient after 15.2 months, and this patient died after 19.2 months.

conclusionVitrectomy is indicated after therapeutic proton beam irradiation in patients who present with persisting exudative retinal detachment involving the macula and high local or systemic risk factors for hemorrhagic complications, thus excluding endoresection.

Indexed as

Choroidal melanomaEndodrainageExudative retinal detachmentProton beam therapy

Identifiers

PMID27175359
PMCPMC4864574
OpenAlexW2028365977

What OpenQuestion holds

Textmetadata
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.