Evidence map›Paper›PMID 31471088›Full record

ArticleOphthalmology2019

Assessment of Vitreous Structure and Visual Function after Neodymium:Yttrium-Aluminum-Garnet Laser Vitreolysis.

Justin H Nguyen, Jeannie Nguyen-Cuu, Fei Yu, Kenneth M Yee, Jonathan Mamou, Ronald H Silverman, Jeffrey Ketterling, J Sebag

Open access · greenAbstract readComparative Study
In one paragraph

Article in Ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

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  10. Spontaneous remission of vision degrading myodesopsia of posterior vitreous detachment type.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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  18. [Advertising or information in ophthalmology? : Scientific evaluation of a YouTube sample].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021
    Review
  19. Article
  20. 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

8 authors at 4 institutions in 1 country.

Justin H NguyenVMR Institute for Vitreous Macula Retina, Huntington Beach, California.
Jeannie Nguyen-CuuVMR Institute for Vitreous Macula Retina, Huntington Beach, California.
Fei YuDepartment of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Kenneth M YeeVMR Institute for Vitreous Macula Retina, Huntington Beach, California.
Jonathan MamouLizzi Center for Biomedical Engineering, Riverside Research, New York, New York.
Ronald H SilvermanDepartment of Ophthalmology, College of Physicians & Surgeons, Columbia University, New York, New York.
Jeffrey KetterlingLizzi Center for Biomedical Engineering, Riverside Research, New York, New York.
J SebagVMR Institute for Vitreous Macula Retina, Huntington Beach, California; Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; Doheny Eye Institute & Department of Ophthalmology, University of California, Los Angeles, Pasadena, California. Electronic address: jsebag@VMRinstitute.com.
Macula and Retina Institute · USRiverside Research Institute · USUniversity of California, Los Angeles · USColumbia University · US

Funding

Instrumentation, Fabrication, and Design CoreP30EY019007 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Xin Zhang · 2010 to 2026
$12.9M
NEI NIH HHS P30 EY019007
6 · The paper itself

Abstract

purposeNeodymium:yttrium-aluminum-garnet (Nd:YAG) laser treatment is performed on vitreous floaters, but studies of structural and functional effects with objective outcome measures are lacking. This study evaluated Nd:YAG laser effects by comparing participants with vitreous floaters who previously underwent laser treatment with untreated control participants and healthy persons without vitreous floaters using quantitative ultrasonography to evaluate vitreous structure and by measuring visual acuity and contrast sensitivity function to assess vision.

designRetrospective, comparative study.

participantsOne eye was enrolled for each of 132 participants: 35 control participants without vitreous floaters, 59 participants with untreated vitreous floaters, and 38 participants with vitreous floaters previously Nd:YAG-treated. Of these, 25 were dissatisfied and sought vitrectomy; 13 were satisfied with observation.

methodsThe 39-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-39) to assess participant visual well-being, quantitative ultrasonography (QUS) to measure vitreous echodensity, and best-corrected visual acuity (BCVA) and contrast sensitivity function (CSF) to evaluate vision.

main outcome measuresResults of NEI-VFQ-39, QUS, BCVA, and CSF.

resultsCompared with control participants without vitreous floaters, participants with untreated vitreous floaters showed worse NEI-VFQ-39 results, 57% greater vitreous echodensity, and significant (130%) CSF degradation (P < 0.001 for each). Compared with untreated eyes with vitreous floaters, Nd:YAG-treated eyes had 23% less vitreous echodensity (P < 0.001), but no differences in NEI-VFQ-39 (P = 0.51), BCVA (P = 0.42), and CSF (P = 0.17) results. Of 38 participants with vitreous floaters who previously were treated with Nd:YAG, 25 were dissatisfied and seeking vitrectomy, whereas 13 were satisfied with observation. Participants seeking vitrectomy showed 24% greater vitreous echodensity (P = 0.018) and 52% worse CSF (P = 0.006). Multivariate linear regression models confirmed these findings.

conclusionsAs a group, participants previously treated with Nd:YAG laser for bothersome vitreous floaters showed less dense vitreous, but similar visual function as untreated control participants with vitreous floaters. Because some treated eyes showed less dense vitreous and better visual function than those of untreated control participants, a prospective randomized study of Nd:YAG laser treatment of vitreous is warranted, using uniform laser treatment parameters and objective quantitative outcome measures.

Indexed as

AdultAgedContrast SensitivityEye DiseasesFemaleHumansLasers, Solid-StateMaleMiddle AgedOphthalmoscopyPatient SatisfactionRetrospective StudiesSickness Impact ProfileSurveys and QuestionnairesUltrasonographyVisual Acuity

Identifiers

PMID31471088
PMCPMC6810832
OpenAlexW2951897223

What OpenQuestion holds

Textmetadata
LicenceTDM
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.