Evidence map›Paper›PMID 31367979›Full record

Trial reportJapanese journal of ophthalmology2019

Twelve-month efficacy and safety of glaucoma filtration device for surgery in patients with normal-tension glaucoma.

Makoto Aihara, Yasuaki Kuwayama, Kazunori Miyata, Shinichiro Ohtani, Ryuichi Ideta, Yoshihiro Hashimoto, Noriyuki Sasaki, Shiroaki Shirato

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Japanese journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Contributing factors for intraocular pressure control in patients with mostly normal-tension glaucoma after initial Ex-PRESS drainage device implantation.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  4. Compared to Trabeculectomy, Ex-PressClinical ophthalmology (Auckland, N.Z.) · 2024
    Article
  5. Comparison of the results of Ex-PRESSInternational ophthalmology · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. 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 5 institutions in 1 country.

Makoto AiharaDepartment of Ophthalmology, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. aihara-tky@umin.net.
Yasuaki KuwayamaFukushima Eye Clinic, Fukushima, Japan.
Kazunori MiyataMiyata Ophthalmic Hospital, Miyazaki, Japan.
Shinichiro OhtaniKagoshima Miyata Eye Clinic, Kagoshima, Japan.
Ryuichi IdetaIdeta Eye Hospital, Kumamoto, Japan.
Yoshihiro HashimotoShinseikai Toyama Hospital, Toyama, Japan.
Noriyuki SasakiAlcon Japan, Tokyo, Japan.
Shiroaki ShiratoYotsuya-Shirato Eye Clinic, Tokyo, Japan.
Miyata Eye Hospital · JPAlcon (Japan) · JPIdeta Eye Hospital · JPThe University of Tokyo · JPToyama University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy and safety of filtration surgery using the EX-PRESS glaucoma filtration device in patients with normal-tension glaucoma (NTG). STUDY

designProspective, single-arm, multicenter interventional case series.

methodsEyes with NTG underwent EX-PRESS implantation with or without cataract surgery. The efficacy and safety were assessed at 1 day; 1 and 2 weeks; and 1, 3, 6, and 12 months after surgery. The main outcome measure was reduction in intraocular pressure (IOP) from baseline at 3, 6, and 12 months after surgery. Safety assessments included adverse event incidence, postoperative inflammation, and corneal endothelial cell density.

resultsThirty-two Japanese patients (37 eyes) with NTG were enrolled. The mean IOP decreased from 14.8 ± 2.3 mmHg at baseline to 10.0 ± 3.1 mmHg at 12 months after surgery (mean reduction 4.9 ± 4.2 mmHg [31.1%]; P < .0001). IOP-lowering medication use decreased from a mean of 3.3 medications per eye before surgery to 0.1 medications per eye at 12 months after surgery. IOP reductions > 20% were achieved by 61.5% of the eyes at 12 months. Adverse events were typical for filtration procedures, and none was deemed device-related. Postoperative inflammation was mild and self-limiting. The mean corneal endothelial cell density had decreased by 3.3% at 12 months after surgery.

conclusionThe EX-PRESS glaucoma filtration device is safe and effective for filtration surgery in patients with NTG, providing mean IOP reduction consistent with recommendations based on the Collaborative NTG Study.

Indexed as

Glaucoma Drainage ImplantsVisual AcuityFemaleFiltering SurgeryFollow-Up StudiesHumansIntraocular PressureLow Tension GlaucomaMaleMiddle AgedProspective StudiesTime FactorsTreatment OutcomeCorneal endothelial cell densityFiltration surgeryGlaucoma filtration deviceIntraocular pressureNormal-tension glaucoma

Identifiers

PMID31367979
OpenAlexW2965490308

What OpenQuestion holds

Textmetadata
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.