Evidence map›Paper›PMID 27698550›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2016

Intravitreal methotrexate infusion for proliferative vitreoretinopathy.

Ama Sadaka, Robert A Sisk, James M Osher, Okan Toygar, Melinda K Duncan, Christopher D Riemann

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06541574 (Prevention of ProliFerative Vitreoretinopathy with Intravitreal MethotreXate in Primary Retinal DEtachment Repair), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT06541574 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Prevention of ProliFerative Vitreoretinopathy with Intravitreal MethotreXate in Primary Retinal DEtachment Repair (FIXER) Trial

TypeinterventionalSponsorCincinnati Eye Institute, Southwest OhioRan2024 to 2026Enrolled860ConditionsProliferative Vitreoretinopathy, Rhegmatogenous Retinal DetachmentArmsMethotrexate Injection, Methotrexate Infusion, Sham Injection
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Methotrexate as an adjunct to pars plana vitrectomy for the prevention and treatment of proliferative vitreoretinopathy in rhegmatogenous retinal detachment: A clinical study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Proliferative vitreoretinopathy: an update on the current and emerging treatment options.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
  16. Article
  17. Proliferative Vitreoretinopathy: A Reappraisal.Journal of clinical medicine · 2023
    Review
  18. Article
  19. Article
  20. Vitreous Substitutes as Drug Release Systems.Translational vision science & technology · 2022
    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 5 institutions in 2 countries.

Ama SadakaDepartment of Ophthalmology, University of Cincinnati College of Medicine.
Robert A SiskDepartment of Ophthalmology, University of Cincinnati College of Medicine; Department of Opthalmology, Cincinnati Children's Hospital Medical Center; Cincinnati Eye Institute, Cincinnati, OH, USA.
James M OsherDepartment of Ophthalmology, University of Cincinnati College of Medicine; Cincinnati Eye Institute, Cincinnati, OH, USA.
Okan ToygarDepartment of Ophthalmology, Bahcesehir University Medical Faculty, Istanbul, Turkey.
Melinda K DuncanDepartment of Biological Sciences, University of Delaware, Newark, DE, USA.
Christopher D RiemannDepartment of Ophthalmology, University of Cincinnati College of Medicine; Cincinnati Eye Institute, Cincinnati, OH, USA.
Cincinnati Eye Institute · USBahçeşehir University · TRCincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USUniversity of Delaware · US

Funding

The Influence of Capsule Composition on Lens BiologyR01EY015279 · NEI · UNIVERSITY OF DELAWARE · PI DUNCAN, MELINDA K · 2004 to 2025
$7.8M
NEI NIH HHS R01 EY015279
6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate intravitreal methotrexate infusion (IMI) during pars plana vitrectomy (PPV) for retinal detachment in patients with high risk for the development of proliferative vitreoretinopathy (PVR).

methodsPatients presenting with severe recurrent PVR with tractional retinal detachment and/or a history of severe ocular inflammation were treated with IMI. Clinical outcomes were determined from a retrospective medical chart review.

resultsTwenty-nine eyes presenting with either tractional retinal detachment and recurrent PVR (n=22) or a history of severe inflammation associated with high PVR risk (n=7) received IMI during PPV. Best-corrected visual acuity at 6 months was ≥20/200 in 19 of 29 eyes (66%) and remained stable or improved compared with initial presentation in 24 of 29 eyes (83%). At the last follow-up examination, the retinas of 26 of 29 eyes (90%) remained attached after IMI while three eyes required another reattachment procedure. Three additional eyes (10%) developed recurrent limited PVR without recurrent RD and were observed. No complications attributable to IMI occurred during a mean follow-up of 27 months.

conclusionEyes at high risk for PVR development due to a history of prior PVR or intraocular inflammation had a low incidence of PVR following IMI at the time of PPV for RD repair. No significant safety issues from IMI were observed in this series.

Indexed as

pars plana vitrectomyrecurrent retinal detachmenttractional retinal detachment

Identifiers

PMID27698550
PMCPMC5034927
OpenAlexW2522030588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.