Evidence map›Paper›PMID 30883531›Full record

Observational studyRetina (Philadelphia, Pa.)2020

POSTERIORLY INSERTED VITREOUS BASE: Preoperative Characteristics, Intraoperative Findings, and Outcomes After Vitrectomy.

Elliott H Sohn, Austin Strohbehn, Tomasz Stryjewski, Katarzyna Brodowska, Miles J Flamme-Wiese, Robert F Mullins, Dean Eliott

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Retina (Philadelphia, Pa.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Elliott H SohnUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa.
Austin StrohbehnDepartment of Ophthalmology, University of Missouri, Columbia, Missouri; and.
Tomasz StryjewskiMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Katarzyna BrodowskaMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Miles J Flamme-WieseInstitute for Vision Research, University of Iowa, Iowa City, Iowa.
Robert F MullinsUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa.
Dean EliottMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.

Funding

Choroidal Disease Mechanisms in AMDR01EY026547 · NEI · UNIVERSITY OF IOWA · PI SOHN, ELLIOTT H · 2016 to 2020
$1.9M
NEI NIH HHS R01 EY026547
6 · The paper itself

Abstract

purposeTo determine the preoperative characteristics, intraoperative and postoperative complications, and outcomes of eyes with posteriorly inserted vitreous base.

methodsIn this retrospective, observational, consecutive case series at 2 academic centers, 37 patients were studied who had posteriorly inserted vitreous base noted during vitrectomy. Posteriorly inserted vitreous base was defined as the insertion of the posterior hyaloid membrane being located posterior to the vortex veins. Fifteen eyes were analyzed in a histopathologic study of donor eyes to determine the average distance of the ora serrata from the vortex veins as this distance is uncertain.

resultsPosteriorly inserted vitreous base was identified during vitrectomy in 31 eyes with rhegmatogenous retinal detachment (84%), 4 with macular hole (11%), 1 with vitreous hemorrhage, and 1 with epiretinal membrane. Adjunctive buckle was used in 24%; 54% had 360° laser. Average number of tears seen preoperatively in those with rhegmatogenous retinal detachment was 3.1. Thirty percent had new breaks identified intraoperatively. Forty-one percent had lattice degeneration; new breaks were found in 40% of eyes with lattice. Thirteen percent of rhegmatogenous retinal detachments developed proliferative vitreoretinopathy. Average distance from the ora serrata to the vortex veins was 7.6 mm.

conclusionAny eye undergoing vitrectomy may have posteriorly inserted vitreous base, but those with a high number of retinal breaks and lattice near the equator may be at highest risk. Redetachment and proliferative vitreoretinopathy still occur despite knowledge of the disorder and adjuvant treatments.

Indexed as

Visual AcuityAdultAgedAged, 80 and overFemaleHumansIntraoperative PeriodMaleMiddle AgedPostoperative PeriodRetinaRetinal DiseasesRetrospective StudiesVitrectomy

Identifiers

PMID30883531
PMCPMC6697230

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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.