Evidence map›Paper›PMID 29210941›Full record

ArticleRetina (Philadelphia, Pa.)2018

COMBINED AUTOLOGOUS TRANSPLANTATION OF NEUROSENSORY RETINA, RETINAL PIGMENT EPITHELIUM, AND CHOROID FREE GRAFTS.

Barbara Parolini, Dilraj S Grewal, Sajish J Pinackatt, Andrea Baldi, Attilio Di Salvatore, Gianluca Besozzi, Alessandro Finzi, Daniele Cardillo, Tamer H Mahmoud

Registry-linked trialAbstract readVideo-Audio Media
In one paragraph

Article in Retina (Philadelphia, Pa.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03798145 (Surgical Retinotomy for the Treatment of Glaucoma), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT03798145 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Surgical Retinotomy for the Treatment of Glaucoma

TypeinterventionalSponsorStanford UniversityRan2021 to 2024Enrolled0ConditionsGlaucomaArmsSurgical Retinotomy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Logbook of a Retinal Autograft.Turkish journal of ophthalmology · 2022
    Article
  4. Review
  5. Article
  6. Review
  7. 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

9 authors at 1 institution in 1 country.

Barbara ParoliniDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Dilraj S GrewalDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina.
Sajish J PinackattDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Andrea BaldiDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Attilio Di SalvatoreDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Gianluca BesozziDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Alessandro FinziDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Daniele CardilloDepartment of Ophthalmology, Sant'Anna Institute, Brescia, Italy.
Tamer H MahmoudDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
NEI NIH HHS P30 EY005722
6 · The paper itself

Abstract

purposeTo evaluate the feasibility and initial functional and anatomical outcomes of transplanting a full-thickness free graft of choroid and retinal pigment epithelium (RPE), along with neurosensory retina in advanced fibrosis and atrophy associated with end-stage exudative age-related macular degeneration with and without a concurrent refractory macular hole.

methodsDuring vitrectomy, an RPE-choroidal and neurosensory retinal free graft was harvested in nine eyes of nine patients. The RPE-choroidal and neurosensory retinal free graft was either placed subretinally (n = 5), intraretinally to cover the foveal area inside an iatrogenically induced macular hole over the RPE-choroidal graft (n = 3) or preretinally (n = 1) without a retinotomy wherein both free grafts were placed over the concurrent macular hole. Silicone oil endotamponade was used in all cases.

resultsMean follow-up was 7 ± 5.5 months (range 3-19). The mean preoperative visual acuity was ∼count fingers (logarithm of the minimum angle of resolution = 2.11, range 2-3), which improved to ∼20/800 (logarithm of the minimum angle of resolution 1.62 ± 0.48, range 0.7-2, P = 0.04). Vision was stable in 5 eyes (55.6%) and improved in 4 eyes (44.4%). Reading ability improved in 5 eyes (55.6%). Postoperative complications were graft atrophy (n = 1), epiretinal membrane (n = 1), and dislocation of neurosensory retina-choroid-RPE free graft (n = 1).

conclusionCombined autologous RPE-choroid and neurosensory retinal free graft is a potential surgical alternative in eyes with end-stage exudative age-related macular degeneration, including concurrent refractory macular hole.

Indexed as

Free Tissue FlapsVisual AcuityAgedChoroidFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansMaleRetinal PerforationsRetinal Pigment EpitheliumTime FactorsTransplantation, AutologousTreatment OutcomeVitrectomy

Identifiers

PMID29210941
PMCPMC5966319
OpenAlexW2770751975

What OpenQuestion holds

Textmetadata
LicenceTDM
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.