Evidence map›Paper›PMID 31133544›Full record

ArticleOphthalmology. Retina2019

Real-World Trends in Intravitreal Injection Practices among American Retina Specialists.

Rahul Chaturvedi, Kendall W Wannamaker, Paul J Riviere, Arshad M Khanani, Charles C Wykoff, Daniel L Chao

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Ophthalmology. Retina, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05832996 (Randomized Controlled Study of Cooled Versus Room-Temperature Artificial Tears for Reducing Surface Irritation Following Intravitreal Injection), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 8% 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.

NCT05832996 phase4completednot on this mapstarted 2022, after this paper: background citation

Randomized Controlled Study of Cooled Versus Room-Temperature Artificial Tears for Reducing Surface Irritation Following Intravitreal Injection

TypeinterventionalSponsorUniversity of IowaRan2022 to 2022Enrolled124ConditionsDiabetic Retinopathy With Macular Edema of Both Eyes (Diagnosis), Central Retinal Vein Occlusion With Macular Edema, Exudative Age-Related Macular Degeneration, Unspecified Eye, Cystoid Macular EdemaArmsRefresh Plus Preservative-free Lubricant Eye Drops
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Preventive factors, diagnosis, and management of injection-related endophthalmitis: a literature review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Review
  15. Anxiety and pain perception using a speculum-free eyelid retraction technique for intravitreal injection.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. From the Editor-in-Chief.Journal of vitreoretinal diseases
    Article
  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 4 institutions in 1 country.

Rahul ChaturvediSchool of Medicine, University of California, San Diego, La Jolla, California.
Kendall W WannamakerUniversity of Texas Health Science Center, San Antonio, Texas.
Paul J RiviereDepartment of Radiation Medicine and Applied Sciences, University of California, San Diego, La Jolla, California.
Arshad M KhananiSierra Eye Associates, Reno, Nevada.
Charles C WykoffRetina Consultants of Houston, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas.
Daniel L ChaoAndrew Viterbi Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, La Jolla, California. Electronic address: d6chao@ucsd.edu.
University of California, San Diego · USHouston Methodist · USSierra Eye Associates · USThe University of Texas Health Science Center at San Antonio · US

Funding

Ophthalmology and Visual Sciences Career Development K12 ProgramK12EY024225 · NEI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WEINREB, ROBERT N · 2015 to 2025
$4.3M
NEI NIH HHS K12 EY024225
6 · The paper itself

Abstract

purposeTo analyze practice patterns used for intravitreal injections (IVIs) by retinal specialists in the United States.

designCross-sectional online survey.

participantsRetina specialists in the United States who responded to a web-based survey.

methodsRetinal specialists in the United States were contacted via e-mail to complete a web-based, anonymous, 24-question survey. Multivariate analysis was performed on a selected question of interest focused on choice of anesthetic used for IVI.

main outcome measuresDifferences in IVI practices, such as antibiotic preferences, and different odds of anesthetic use by demographic variables with 95% confidence intervals.

resultsA total of 281 retinal specialists responded to the survey (17% response rate). Respondents' average age was 53 years, with an average of 20 years in practice. Respondents practiced in 42 states, with 90% practicing in an urban or suburban area. For anesthesia, 14% used a topical anesthetic with cotton swab compression, 27% used a subconjunctival anesthetic, and 31% used an anesthetic gel. Age, gender, geographic location, and practice setting did not seem to impact choice of anesthetic for IVI significantly. Sixty-six percent of respondents always use a lid speculum, 21% administer topical antibiotics before injection, 36% wear a mask, 73% wear gloves, and 45% always dilate the eyes before injection. Most respondents use a 30-gauge needle and inject in the inferior temporal quadrant (70%). Forty-five percent always perform bilateral injections the same day if indicated. After the injection, 14% administer post operative nonsteroidal anti-inflammatory drugs, 28% administer postoperative antibiotics, and 31% routinely check intraocular pressure after injection.

conclusionsThis study provided real-world trends in practices for IVI among retina specialists in the United States. In addition, age, gender, practice type, and geographic location did not influence anesthetic choice for IVI.

Indexed as

Anesthetics, LocalAngiogenesis InhibitorsAnti-Bacterial AgentsCross-Sectional StudiesFemaleHealth Care SurveysHumansInternetIntravitreal InjectionsMaleMiddle AgedOphthalmologistsPharmaceutical PreparationsPractice Patterns, Physicians'Retinal DiseasesSpecializationAnesthetics, LocalAngiogenesis InhibitorsAnti-Bacterial AgentsPharmaceutical PreparationsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID31133544
PMCPMC6684447
OpenAlexW2931852542

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.