Evidence map›Paper›PMID 32351722›Full record

ArticleJournal of ophthalmology2020

Real-Life Management of Diabetic Macular Edema with Dexamethasone Intravitreal Implant: A Retrospective Analysis of Long-Term Clinical Outcomes.

Massimo Nicolò, Donatella Musetti, Maria Marenco, Lorenzo Cotti, Monica Bonetto, Mauro Giacomini, Carlo Enrico Traverso

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 10 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 2 institutions in 1 country.

Massimo NicolòClinica Oculistica, DiNOGMI, Università di Genova, Ospedale Policlinico San Martino IRCCS, Genova, Italy.ORCID https://orcid.org/0000-0002-7824-3091
Donatella MusettiClinica Oculistica, DiNOGMI, Università di Genova, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Maria MarencoClinica Oculistica, DiNOGMI, Università di Genova, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Lorenzo CottiHealthropy Srl, Savona, Italy.
Monica BonettoClinica Oculistica, DiNOGMI, Università di Genova, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Mauro GiacominiDIBRIS, University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0001-5646-2034
Carlo Enrico TraversoClinica Oculistica, DiNOGMI, Università di Genova, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Ospedale Policlinico San Martino · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInflammation plays a key role in the pathogenesis of diabetic macular edema (DME), and intravitreal corticosteroids are among the recommended therapies. The goal of this retrospective analysis was to describe outcomes with dexamethasone intravitreal implant (DEX implant) in real life.

methodsMedical digital records of DME patients treated with DEX implant and followed up for 3 years were analyzed. Treatment with DEX implant was started either as first-line therapy in pseudophakic patients and in patients with cardiovascular comorbidities or as second-line therapy in patients refractory to the inhibitor of the vascular endothelial growth factor (anti-VEGF) therapy. Analyzed outcomes included central macular thickness (CMT) and best-corrected visual acuity (BCVA). Mean number of implant injections per patient and mean duration of the interval between injections were also estimated.

resultsSeventy-five patients (mean age 65.7 (±12.3) years; 53 phakic and 22 pseudophakic) with DME were included. Overall, 84 eyes were treated. Mean CMT improved from 380.1 (±100.3)

conclusionsWith fewer than 3 injections per patient over a 3-year period, DEX implant was able to improve anatomic outcomes in DME patients. Only pseudophakic eyes showed also a long lasting functional benefit at 36 months.

Identifiers

PMID32351722
PMCPMC7171629
OpenAlexW3015403687

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.