Evidence map›Paper›PMID 31764288›Full record

SynthesisCornea2020

Risk Factors for the Development of Ocular Hypertension After Keratoplasty: A Systematic Review.

Ilona Liesenborghs, Johannes S A G Schouten, Tos T J M Berendschot, Henny J M Beckers, Rudy M M A Nuijts, Nienke Visser, Carroll A B Webers

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Cornea, 2020. 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, 20 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

7 authors at 1 institution in 1 country.

Ilona LiesenborghsUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Johannes S A G SchoutenUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Tos T J M BerendschotUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Henny J M BeckersUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Rudy M M A NuijtsUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Nienke VisserUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Carroll A B WebersUniversity Eye Clinic Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify risk factors for the development of ocular hypertension after keratoplasty.

methodsA systematic search in PubMed and Embase identified 67 relevant articles published between January 1990 and 2019. We preferentially searched for data on an intraocular pressure increase above 21 mmHg at 6 months or a threshold or time point close to that and reported whether the preoperative or intraoperative status of risk factors was defined. The results were presented in evidence tables, visualizing the direction of the association, whether univariate and/or multivariate analysis was performed, and the significance level (P < 0.05). Four researchers, blinded for the risk factors, independently assigned a level of evidence (definitely, probably, possibly, not associated). Consensus was met during group meetings.

resultsFrom the 110 studied risk factors, pre-existing glaucoma, high preoperative IOP and combined keratoplasty with removal or exchange of an intraocular lens (IOL) were definitely associated with an increased risk. In addition, if the pre-or postoperative lens status was undefined, aphakia and pseudophakia with the IOL in the anterior or posterior chamber were also definitely associated with an increased risk when compared to phakia. Glaucoma in the contralateral eye, indication of bullous keratopathy, African American descent, preoperative treatment with cyclosporine or olopatadine 0.1%, postoperative treatment with prednisolone acetate 1%, and combined surgery in general (ie, the type of surgeries undefined in primary studies) were probably associated. Multiple other identified risk factors lack sufficient evidence and need additional investigation.

conclusionsRisk factors with a definite association can help clinicians select patients at risk and adjust their follow-up and treatment. The other factors need further investigation.

Indexed as

Postoperative ComplicationsRisk AssessmentVisual AcuityCorneal DiseasesHumansIntraocular PressureKeratoplasty, PenetratingOcular HypertensionRisk Factors

Identifiers

PMID31764288
PMCPMC7015193
OpenAlexW2989799017

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.