Evidence map›Paper›PMID 29738569›Full record

ArticlePloS one2018

Intraretinal changes in idiopathic versus diabetic epiretinal membranes after macular peeling.

Mario R Romano, Gennaro Ilardi, Mariantonia Ferrara, Gilda Cennamo, Davide Allegrini, Pia Clara Pafundi, Ciro Costagliola, Stefania Staibano, Giovanni Cennamo

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  7. Temperature control during pars plana vitrectomy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  8. Article
  9. Review
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  11. Anatomical changes in idiopathic epiretinal membrane at 2-year follow-up assessed using spectral domain optical coherence tomography and optical coherence tomographic angiography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  12. Review
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  14. Editorial: Imaging in Ophthalmology.Journal of clinical medicine · 2022
    Article
  15. Review
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  19. Vitreous and intraretinal macular changes in diabetic macular edema with and without tractional components.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Mario R RomanoDepartment of Biomedical Sciences, Humanitas University, Rozzano, Milano, Italy.ORCID 0000-0003-0348-0532
Gennaro IlardiDepartment of Biomedical Advanced Sciences, University Federico II, Naples, Italy.
Mariantonia FerraraDepartment of Neuroscience, Reproductive and Odontostomatological Science, Federico II University, Naples, Italy.
Gilda CennamoDepartment of Neuroscience, Reproductive and Odontostomatological Science, Federico II University, Naples, Italy.
Davide AllegriniDepartment of Biomedical Sciences, Humanitas University, Rozzano, Milano, Italy.ORCID 0000-0002-5988-706X
Pia Clara PafundiDepartment of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Ciro CostagliolaEye Clinic, Department of Health Sciences, University of Molise, Campobasso, Italy.
Stefania StaibanoDepartment of Biomedical Advanced Sciences, University Federico II, Naples, Italy.
Giovanni CennamoDepartment of Neuroscience, Reproductive and Odontostomatological Science, Federico II University, Naples, Italy.
Federico II University Hospital · ITHumanitas University · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Molise · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEpiretinal traction is not responsible only for epiretinal but also intraretinal changes. This study aims to describe structural and vascular intraretinal changes after macular peeling in idiopathic (iERM) vs diabetic ERM (dERM).

methodsWe conducted a prospective interventional study on forty-two eyes, 23 with iERMs and 19 with dERMs, undergoing ERM-ILM peeling. We performed SD-OCT preoperatively, 1 and 6 months postoperatively to assess central macular thickness (CMT), intraretinal cysts (IC) and/or continuous ectopic inner foveal layers (CEIFL), superficial and deep capillary free zone (CFZ) area on OCT-A. Glial fibrillary acidic protein (GFAP), as a Müller cells marker, was detected immunohistochemically on ILM specimens, to assess Müller cells iatrogenic damage.

resultsThe CEIFLs were significantly more common in iERMs (12 (52.2%) in iERMs vs 2 (10.5%) in dERMs, p = 0.004), whereas ICs in dERMs (6 (26.1%) in iERMs vs 17 (89.5%) in dERMs, p<0.001). Median preoperative and postoperative BCVA was 20/50 [20/40-20/66] and 20/33 [20/25-20/40] in iERMs and 20/100 [20/66-20/200] and 20/50 [20/50-20/66] in dERMs, respectively. Median preoperative and postoperative CMT was 423 [370-488] and 364 [329-382] μm in iERM group and 465 [447-503] and 378 [359-433] μm in dERM group, respectively. The BCVA improvement and reduction of CMT thickness were significant in both groups (p<0.001). The presence of CEIFL was associated with lower BCVA in iERMs. Deep CFZ network significantly increased only in dERMs, passing from 0.34 [0.29-0.42] mm2 preoperatively to 0.56 [0.46-0.6] mm2 at 6-month follow-up (p<0.001). The GFAP expression was significantly higher in dERMs (p = 0.001).

conclusionThe intraretinal changes are different in iERMs and dERMs, as increased expression of CEIFLs in iERMs vs ICs in dERMs. The CEIFLs are associated with worse anatomical and functional outcomes in iERMs, whereas GFAP espression in peeled ILMs is higher in dERMs.

Indexed as

AgedBasement MembraneDiabetic RetinopathyEpiretinal MembraneEyeFemaleHumansMacula LuteaMaleOphthalmologic Surgical ProceduresPostoperative PeriodRetinaTomography, Optical CoherenceVisual AcuityVitrectomy

Identifiers

PMID29738569
PMCPMC5940191
OpenAlexW2799738531

What OpenQuestion holds

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Registered trials

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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.