Evidence map›Paper›PMID 31245607›Full record

ArticleBMJ open ophthalmology2019

Indications and outcomes of vitrectomy surgery in a series of 1000 black African eyes.

Ogugua Ndubuisi Okonkwo, Karinya Lewis, Adekunle Olubola Hassan, Micheal Ekuoba Gyasi, Banji Oluyadi, Adunola Ogunro, Olufemi Oderinlo, Mildred Ulaikere

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  8. Article
  9. Evaluating the preventive effect of metoclopramide and aminophylline on pain after deep vitrectomy.International journal of physiology, pathophysiology and pharmacology · 2022
    Article
  10. Secondary Macular Holes Post Pars Plana Vitrectomy.International medical case reports journal · 2022
    Article
  11. Article
  12. Article
  13. Tractional Retinal Detachment: Prevalence and Causes in Nigerians.Journal of the West African College of Surgeons
    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

8 authors at 1 institution in 1 country.

Ogugua Ndubuisi OkonkwoEye Foundation Retina Institute, Eye Foundation Center, Lagos, Nigeria.
Karinya LewisOphthalmology, Eye Foundation Hospital, Lagos, Nigeria.
Adekunle Olubola HassanEye Foundation Retina Institute, Eye Foundation Center, Lagos, Nigeria.
Micheal Ekuoba GyasiOphthalmology, St Thomas Eye Hospital, Accra, Ghana.
Banji OluyadiOphthalmology, Eye Foundation Hospital, Lagos, Nigeria.
Adunola OgunroOphthalmology, Eye Foundation Hospital, Lagos, Nigeria.
Olufemi OderinloEye Foundation Retina Institute, Eye Foundation Center, Lagos, Nigeria.
Mildred UlaikereOphthalmology, Eye Foundation Hospital, Lagos, Nigeria.
Lagos University Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the common indications for, and outcomes of pars plana vitrectomy surgery among black Africans in a low-resource setting. METHODS AND ANALYSIS: A retrospective, non-comparative case review was undertaken. Data from 1000 consecutive eyes of 1000 patients in a single centre who underwent pars plana vitrectomy surgery between May 2005 and July 2013 were used for the study. Demographic data, primary indication for surgery, ocular status and outcomes were assessed.

resultsRhegmatogenous retinal detachment was the most common primary indication occurring in 61.8% of eyes. Diabetic vitrectomy, trauma and proliferative sickle cell retinopathy were also common indications occurring in 10.1%, 6.1% and 4.5% of eyes, respectively. At presentation, 33% of patients with retinal detachment had some form of proliferative vitreoretinopathy, and half of those had the more advanced grades C and D. Patients presented on an average of 13.5 months after onset of symptoms. As a result, visual outcomes were less than other reported studies.

conclusionRetinal detachment was the most common indication for vitrectomy, but even these cases presented late with an advanced presentation. This study highlights the need for affordable and accessible vitreoretinal services in Sub-Saharan Africa and increased awareness of general eye health, along with strategies to reduce trauma and identify early those at risk of chronic eye diseases, such as diabetic retinopathy and sickle cell retinopathy.

Indexed as

diabetes mellitusdiabetic retinopathyretinal detachmentSub Saharan Africavitrectomyvitreous hemorrhage

Identifiers

PMID31245607
PMCPMC6557079
OpenAlexW2947685414

What OpenQuestion holds

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LicenceCC BY-NC
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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.