Evidence map›Paper›PMID 31100106›Full record

ArticleInvestigative ophthalmology & visual science2019

Intravitreal Fluocinolone Acetonide May Decelerate Diabetic Retinal Neurodegeneration.

Stephanie K Lynch, Kyungmoo Lee, Zhi Chen, James C Folk, Ursula Schmidt-Erfurth, Bianca S Gerendas, Andreas Wahle, Charles C Wykoff, Michael D Abràmoff

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. New Insights into Treating Early and Advanced Stage Diabetic Retinopathy.International journal of molecular sciences · 2022
    Review
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Corticosteroids for Diabetic Macular Edema.Taiwan journal of ophthalmology
    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

9 authors at 4 institutions in 2 countries.

Stephanie K LynchDepartment of Ophthalmology and Visual Sciences, University of Iowa, Carver College of Medicine, Iowa City, Iowa, United States.
Kyungmoo LeeDepartment of Electrical and Computer Engineering, University of Iowa, Iowa City, Iowa, United States.
Zhi ChenDepartment of Electrical and Computer Engineering, University of Iowa, Iowa City, Iowa, United States.
James C FolkDepartment of Ophthalmology and Visual Sciences, University of Iowa, Carver College of Medicine, Iowa City, Iowa, United States.
Ursula Schmidt-ErfurthDepartment of Ophthalmology and Optometry, Vienna Reading Center, Medical University of Vienna, Vienna, Austria.
Bianca S GerendasDepartment of Ophthalmology and Optometry, Vienna Reading Center, Medical University of Vienna, Vienna, Austria.
Andreas WahleDepartment of Electrical and Computer Engineering, University of Iowa, Iowa City, Iowa, United States.
Charles C WykoffRetina Consultants of Houston, Blanton Eye Institute, Houston, Texas, United States.
Michael D AbràmoffDepartment of Ophthalmology and Visual Sciences, University of Iowa, Carver College of Medicine, Iowa City, Iowa, United States.
University of Iowa · USIntegrated DNA Technologies (United States) · USMedical University of Vienna · ATRetina Consultants of Houston · US

Funding

Retinal Therapy Guided by 3-D OCT Image AnalysisR01EY019112 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, SONKA, MILAN · 2010 to 2014
$2.6M
Three-dimensional structure-function relationships in glaucoma from SD-OCTR01EY018853 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, KWON, YOUNG H. · 2009 to 2016
$2.6M
Low-cost, portable, computer assisted imaging for diabe*R01EY017066 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID · 2005 to 2008
$1.3M
Computer Aided Detection of Diabetic Retinopathy in Veterans with DiabetesI01CX000119 · VA · IOWA CITY VA MEDICAL CENTER · PI ABRAMOFF, MICHAEL DAVID · 2009 to 2013
–
CSRD VA I01 CX000119NEI NIH HHS R01 EY017066NEI NIH HHS R01 EY018853NEI NIH HHS R01 EY019112
6 · The paper itself

Abstract

Purpose: There is no prevention or treatment for diabetic retinal neurodegeneration (DRN), which is a complication of diabetes that can occur independently of diabetic retinopathy (DR). We hypothesized that an intravitreal fluocinolone acetonide (FAc) implant may affect the rate of DRN when used in patients with diabetic macular edema (DME). Methods: In this retrospective analysis, optical coherence tomography with neuroretinal analysis was obtained at 3-month intervals from 130 patients in the USER study both before (mean duration 903 days, range 35-4005 days) and after administration of FAc (mean 408 days, range 7 to 756 days). The rate of DRN was defined as the change over time on inner neuroretinal thickness using logistic regression. A DRN rate was calculated independently for two areas: region 1 located within 1.5 mm of the fovea, and region 2 from 1.5 mm to 3.0 mm from the fovea. Results: In regions of the macula more than 1.5 mm from the central fovea, there was a statistically significant decrease in the rate of DRN in the post-FAc period. The pre-FAc neuroretinal loss in this area occurred at 4.0 μm/y, compared with a post-FAc loss rate of 1.1 μm/y (P = 0.001). Conclusions: This retrospective study suggests that FAc may decelerate the rate of inner retinal thinning in patients with persistent DME. Further prospective studies are necessary to determine the effects of FAc on the rate of DRN in patients with DME.

Indexed as

AgedAnti-Inflammatory AgentsDiabetic RetinopathyFemaleFluocinolone AcetonideGlucocorticoidsHumansIntravitreal InjectionsLogistic ModelsMacular EdemaMaleMiddle AgedPilot ProjectsRetinal DegenerationRetrospective StudiesTomography, Optical CoherenceAnti-Inflammatory AgentsFluocinolone AcetonideGlucocorticoids

Identifiers

PMID31100106
PMCPMC6528841
OpenAlexW2946627198

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.