Evidence map›Paper›PMID 29996798›Full record

Trial reportBMC ophthalmology2018

Comparison of different settings for yellow subthreshold laser treatment in diabetic macular edema.

Jay Chhablani, Rayan Alshareef, David Ta Kim, Raja Narayanan, Abhilash Goud, Annie Mathai

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03571659 (To Assess the Safety and Efficacy of Two Subthreshold Parameters), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT03571659 completednot on this map

To Assess the Safety and Efficacy of Two Subthreshold Parameters (5% and 15% Duty Cycle (DC)) Compared to Standard ETDRS (Early Treatment of Diabetic Retinopathy Study) Continuous Wave (CW) Laser

TypeobservationalSponsorL.V. Prasad Eye InstituteRan2014 to 2015Enrolled32ConditionsDiabetic RetinopathyArmsLaser
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Efficacy of anti-VEGF monotherapy versus anti-VEGF therapy with subthreshold micropulse laser (SML) in the management of diabetic macular oedema (DMO): a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Pooled it
  2. Trial
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  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
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  11. Article
  12. Review
  13. Article
  14. Detecting Diabetic Retinal Neuropathy Using Fundus Perimetry.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Real-life outcomes of subthreshold laser therapy for diabetic macular edema.International journal of retina and vitreous · 2021
    Article
  19. Micropulse Laser Treatment of Retinal Diseases.Journal of clinical medicine · 2019
    Review
  20. 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

6 authors at 3 institutions in 2 countries.

Jay ChhablaniSmt. Kanuri Santhamma Retina Vitreous Centre, L.V.Prasad Eye Institute, Kallam Anji Reddy Campus Banjara Hills, Hyderabad, 500034, India. jay.chhablani@gmail.com.
Rayan AlshareefDepartment of Ophthalmology, McGill University, Montreal, Quebec, Canada.
David Ta KimDepartment of Surgery, Division of Ophthalmology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Raja NarayananSmt. Kanuri Santhamma Retina Vitreous Centre, L.V.Prasad Eye Institute, Kallam Anji Reddy Campus Banjara Hills, Hyderabad, 500034, India.
Abhilash GoudSmt. Kanuri Santhamma Retina Vitreous Centre, L.V.Prasad Eye Institute, Kallam Anji Reddy Campus Banjara Hills, Hyderabad, 500034, India.
Annie MathaiSmt. Kanuri Santhamma Retina Vitreous Centre, L.V.Prasad Eye Institute, Kallam Anji Reddy Campus Banjara Hills, Hyderabad, 500034, India.
L V Prasad Eye Institute · INMcGill University · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the safety and efficacy of two subthreshold parameters (5 and 15% duty cycle (DC)) compared to standard ETDRS (early treatment of diabetic retinopathy study) continuous wave (CW) laser.

methodsIn this prospective randomized study, 30 eyes from 20 patients with non-center involving macular edema were randomized into 3 different groups: 5% DC, 15% DC and CW navigated modified ETDRS laser treatment. Titration in subthreshold groups was performed with 30% of the threshold power, decided with microsecond pulses. CW laser was titrated to a barely visible burn. All patients underwent microperimetry, thickness measurements and visual acuity examinations at baseline, 6 weeks and 12 weeks post treatment.

resultsAt three months follow up, retinal sensitivity was significantly reduced in the CW group by - 2.2 dB whereas in both subthreshold groups, retinal sensitivity increased by 2.4 dB for 5% and 1.9 dB for 15% DC with no significant difference. Retinal volume (mm

conclusionSubthreshold microsecond laser was shown to be safe and effective with both 5 and 15% DC as compared to conventional photocoagulation with ETDRS parameters. The 15% DC setting trended to achieve better anatomical, visual and functional outcomes.

trial registrationRetrospectively registered ( NCT03571659 , 06/26/2018).

Indexed as

Visual AcuityDiabetic RetinopathyDouble-Blind MethodFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansLaser CoagulationLasers, SemiconductorMacular EdemaMaleMiddle AgedProspective StudiesTomography, Optical CoherenceDiabetic macular edemaLaser photocoagulationMicroperimetryMicropulseMicrosecondSubthreshold laser

Identifiers

PMID29996798
PMCPMC6042372
OpenAlexW2869243488

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.