Evidence map›Paper›PMID 28085139›Full record

ArticleEye (London, England)2017

Efficacy of 0.2 μg/day fluocinolone acetonide implant (ILUVIEN) in eyes with diabetic macular edema and prior vitrectomy.

A Meireles, C Goldsmith, I El-Ghrably, A Erginay, M Habib, B Pessoa, J Coelho, T Patel, R Tadayoni, P Massin and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Functional and Morphological Responses to Fluocinolone Acetonide 0.19 mg in Noninfectious Uveitic Macular Edema Evaluated as the Area-Under-the-Curve.Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics · 2023
    Article
  4. Article
  5. Intravitreal Fluocinolone Acetonide Implant (ILUVIENDrug design, development and therapy · 2023
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Pharmacology of Corticosteroids for Diabetic Macular Edema.Investigative ophthalmology & visual science · 2018
    Review
  17. Article
  18. Review
  19. 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

12 authors at 6 institutions in 4 countries.

A MeirelesUnit of Ophthalmology, CHP-Hospital Santo António, Porto, Portugal.
C GoldsmithUnit of Ophthalmology, James Paget University Hospital, Great Yarmouth, UK.
I El-GhrablyUnit of Ophthalmology, James Cook University Hospital, Middlesbrough, UK.
A ErginayUnit of Ophthalmology, Lariboisiere University hospital, Paris, France.
M HabibUnit of Ophthalmology, Sunderland Eye Hospital, Sunderland, UK.
B PessoaUnit of Ophthalmology, CHP-Hospital Santo António, Porto, Portugal.
J CoelhoUnit of Ophthalmology, CHP-Hospital Santo António, Porto, Portugal.
T PatelUnit of Ophthalmology, James Paget University Hospital, Great Yarmouth, UK.
R TadayoniUnit of Ophthalmology, Lariboisiere University hospital, Paris, France.
P MassinUnit of Ophthalmology, Lariboisiere University hospital, Paris, France.
J AtorfDepartment of Ophthalmology, Staedtisches Klinikum Karlsruhe, Karlsruhe, Germany.
A J AugustinDepartment of Ophthalmology, Staedtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Hôpital Lariboisière · FRHospital de Santo António · PTJames Paget University Hospital · GBStädtisches Klinikum Karlsruhe · DEJames Cook University Hospital · GBSunderland Eye Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeLimited data are available on the efficacy of the 0.2 μg/day fluocinolone acetonide (FAc) implant in eyes with prior vitrectomy. Here, we present a collection of 26 vitrectomized eyes treated with the 0.2 μg/day FAc implant.MethodsRetrospective study involving six centers from four European countries analyzing the safety and efficacy data from patients (26 eyes from 25 patients) with DME and a prior vitrectomy that had been treated with one 0.2 μg/day FAc implant.ResultsPrior intravitreal therapies included anti-VEGF (mean, 3.8 injections) and steroids (mean, 1.9 injections). Pars plana vitrectomy (PPV) was performed in these eyes primarily for abnormalities of vitreoretinal interface, followed by proliferative diabetic retinopathy and vitreous hemorrhage. The 0.2 μg/day FAc implant was injected 24.2 months, on average, after PPV and the mean duration of follow-up after injection was 255 days (range, 90 to 759 days). The mean change in BCVA was +11.7 ETDRS letters (range, -19 to +40 letters; P<0.0004) and the mean change in central foveal thickness (CFT) was -233.5 μm (range, -678 to 274 μm; P<0.0001). The mean change in IOP from baseline at the last visit was +1.4 mm Hg (range, -9 to +8 mm Hg; P=0.0090). Eight eyes initiated or continued IOP lowering medications.ConclusionsThese data suggest the 0.2 μg/day FAc implant is effective in vitrectomized patients with an acceptable safety profile. Further studies are still required to confirm the current findings and to assess the effect of the 0.2 μg/day FAc implant over a longer period of follow-up.

Indexed as

VitrectomyAgedDiabetic RetinopathyDose-Response Relationship, DrugDrug ImplantsFemaleFluocinolone AcetonideFollow-Up StudiesGlucocorticoidsHumansIntravitreal InjectionsMacula LuteaMacular EdemaMalePreoperative PeriodRetrospective StudiesDrug ImplantsFluocinolone AcetonideGlucocorticoids

Identifiers

PMID28085139
PMCPMC5437318
OpenAlexW2577812354

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.