Evidence map›Paper›PMID 32377417›Full record

ArticleJournal of ophthalmology2020

Intravitreal Injections in Arc Sterile Setting: Safety Profile after More Than 10,000 Treatments.

Claudio Furino, Maria Oliva Grassi, Vito Bini, Annalisa Nacucchi, Francesco Boscia, Michele Reibaldi, Nicola Recchimurzo, Giovanni Alessio

Abstract 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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  6. 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.

Claudio FurinoEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.ORCID https://orcid.org/0000-0003-0254-7432
Maria Oliva GrassiEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.
Vito BiniEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.
Annalisa NacucchiEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.
Francesco BosciaEye Clinic, Department of Ophthalmology, University of Sassari, Sassari, Italy.
Michele ReibaldiEye Clinic, Department of Ophthalmology, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0003-1368-6729
Nicola RecchimurzoEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.
Giovanni AlessioEye Clinic, Azienda Ospedaliero-Universitaria Policlinico, University of Bari, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the occurrence of endophthalmitis and other complications after intravitreal injections (IVIs) in the Arc Sterile setting.

methodsA retrospective study that enrolled all patients who underwent IVIs between November 2017 and March 2019, collecting data about the patient's gender and age, type of injected drug, diagnosis, other ocular pathologies, physician and possible occurrence of endophthalmitis, or other complications.

resultsTen thousand and eighty-three IVIs were performed during the study period, involving 2014 eyes of 1,670 patients with an average age of 71.37 ± 11.63 years. The injected drugs included ranibizumab (54.6%), aflibercept (38.0%), dexamethasone (6.7%), pegaptanib (0.3%), bevacizumab (0.4%), and ocriplasmin (0.01%). The diagnosis included neovascular age-related macular degeneration (859), myopic choroidal neovascularization (154), diabetic macular edema (576), retinal vein occlusion (203), and miscellaneus diagnosis (222). No cases of endophthalmitis were recorded. One hundred and sixty-nine cases of ocular hypertension were detected, while the most frequent complication was subconjunctival hemorrhage, identified after 1,180 IVIs. The residents performed over 80% of IVIs, but there was no statistically significant difference in incidence of complications between the residents group and consultants group.

conclusionsArc Sterile seems to be a safe setting in which IVIs can be carried out, regarding infective risk, and it is easy to set up compared to operation theatre and useful to improve intravitreal injections governance.

Identifiers

PMID32377417
PMCPMC7180985

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