Evidence map›Paper›PMID 31650791›Full record

ArticleTurkish journal of ophthalmology2019

Intravitreal Dexamethasone Implant in the Treatment of Non-infectious Uveitis

Murat Hasanreisoğlu, Hüseyin Baran Özdemir, Kaan Özkan, Murat Yüksel, Zeynep Aktaş, Hatice Tuba Atalay, Şengül Özdek, Gökhan Gürelik

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of 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
2.0field-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, 19 citations in OpenAlex.

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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 2 institutions in 1 country.

Murat HasanreisoğluGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0001-9885-5653
Hüseyin Baran ÖzdemirUniversity of Health Sciences, Ulucanlar Eye Training and Research Hospital, Ophthalmology Clinic, Ankara, TurkeyORCID 0000-0002-5585-253X
Kaan ÖzkanGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0002-9617-6961
Murat YükselGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0002-3603-5024
Zeynep AktaşGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0001-8402-8171
Hatice Tuba AtalayGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0002-1847-615X
Şengül ÖzdekGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0002-7494-4106
Gökhan GürelikGazi University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyORCID 0000-0001-9478-494X
Gazi University · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate the long-term results of intravitreal dexamethasone implant (DEX) for noninfectious uveitis. Materials and Methods: The study included 62 eyes of 44 patients treated with DEX implant due to noninfectious uveitis and followed up for at least a year. Best-corrected visual acuity (BCVA), central foveal thickness, intraocular pressure (IOP), vitreous haze score, indications, immunomodulatory therapy and steroid usage before/after injection, number of injections, and adverse events were analyzed retrospectively. Results: Average follow-up was 20 months (range 12-64 months). The female/male ratio was 29/15. Mean age was 50 years (range 22-75 years). The most frequent uveitis etiologies were idiopathic (25 patients, 40.3%) and Behçet’s uveitis. (17 patients, 27.4%) The most common indication for DEX injection was cystoid macular edema together with resistant vitreous haze (26 eyes, 41.9%). Twenty-two eyes (30%) received more than one DEX injection. Mean BCVA was improved from 0.55 logMAR at baseline to 0.38, 0.32, and 0.35 after 1, 3, and 6 months, respectively (p<0.001 for each). Mean CFT was decreased from 386 μm at baseline to 288, 311, and 302 μm after 1, 3, and 6 months, respectively (p<0.001 for each). Mean IOP did not change significantly during follow-up. Five eyes (8%) received topical anti-glaucoma medication (IOP ≥25 mmHg). Eighteen (46%) of 39 phakic eyes underwent cataract surgery during follow-up. Similar efficacy of the DEX implant was observed in eyes that received multiple injections. Systemic immunomodulatory therapy did not change significantly during follow-up. Conclusion: Intravitreal DEX injection does not alter systemic immunomodulatory therapy, but may facilitate the management of noninfectious uveitis by suppressing local intraocular inflammation. Multiple injections yielded comparable visual and anatomical outcomes to single injections. Follow-up for ocular hypertension and cataract formation are important, especially in eyes receiving multiple injections.

Indexed as

Visual AcuityAdultAgedDexamethasoneDrug ContaminationFemaleFollow-Up StudiesFovea CentralisGlucocorticoidsHumansIntravitreal InjectionsMaleMiddle AgedRetrospective StudiesTime FactorsTomography, Optical CoherenceDexamethasoneGlucocorticoidsDexamethasone implantintravitreal injectionOzurdexuveitis

Identifiers

PMID31650791
PMCPMC6823586
OpenAlexW2981704042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.