Evidence map›Paper›PMID 32440977›Full record

ArticleAdvances in therapy2020

Persistence of Inflammation After Uncomplicated Cataract Surgery: A 6-Month Laser Flare Photometry Analysis.

Michele De Maria, Marco Coassin, Valentina Mastrofilippo, Luca Cimino, Danilo Iannetta, Luigi Fontana

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03317847 (Bromfenac 0.09% Versus Dexamethasone 0.1% Ophthalmic Solutions to Reduce Inflammation After Cataract Surgery), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT03317847 phase4completednot on this map

Bromfenac 0.09% Versus Dexamethasone 0.1% Ophthalmic Solutions to Reduce Inflammation After Cataract Surgery

TypeinterventionalSponsorAzienda USL Reggio Emilia - IRCCSRan2017 to 2019Enrolled92ConditionsInflammation EyeArmsBromfenac 0.09 % Ophthalmic Solution, Dexamethasone 0.1% ophthalmic suspension
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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  12. Macular vascular density and visual function after phacoemulsification in cataract patients with non-pathological high myopia: a prospective observational cohort study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Observational
  13. Article
  14. Review
  15. Article
  16. Laser flare photometry in uveitis.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
  17. 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

6 authors at 3 institutions in 1 country.

Michele De Maria *Ophthalmology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID https://orcid.org/0000-0002-5791-4263
Marco Coassin *Ophthalmology, University Campus Bio-Medico, Rome, Italy.ORCID https://orcid.org/0000-0003-3404-0425
Valentina MastrofilippoClinical Trials and Statistics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Luca CiminoOcular Immunology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Danilo IannettaOphthalmology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Luigi FontanaOphthalmology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. luifonta@gmail.com.ORCID http://orcid.org/0000-0003-3877-0417
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversità Campus Bio-Medico · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate, by laser photometry, the persistency of anterior chamber flare after uneventful phacoemulsification in asymptomatic patients with no signs of inflammation on slit lamp examination.

methodSeventy-five patients previously enrolled in a randomized clinical trial that evaluated inflammation after uneventful phacoemulsification in eyes treated with dexamethasone 0.1% ophthalmic suspension (group 1) or bromfenac 0.09% ophthalmic solution (group 2) for 2 weeks. Anterior chamber inflammation was investigated by laser flare photometry. At 30 days after surgery, laser flare showed persistently elevated values. For this reason, patients were further analyzed at 3 and 6 months. Additionally, optical coherence tomography was used to measure the central macular thickness (CMT) and to assess for postoperative pseudophakic macular edema.

resultsWhen compared to preoperative values, laser flare photometry demonstrated persistent ocular inflammation at postoperative days 90 and 180 in group 1, but not in group 2. Laser flare values showed a significant reduction in group 2 compared to group 1 throughout all the follow-up (p < 0.001). The increase in mean CMT at days 90 and 180 with respect to baseline was statistically significant in group 1 but not in group 2, in which it decreased to levels similar to preoperative value. Group 1 showed a higher increase in mean CMT compared to group 2 throughout all the follow-up (p < 0.001). The proportion of patients that developed pseudophakic cystoid macular edema (CME) was 14% (n = 5) and 0% (n = 0) in group 1 and group 2, respectively (p = 0.02). The bivariate analysis demonstrated a positive correlation between laser flare and CMT values in group 1 but not in group 2.

conclusionAnterior chamber inflammation persists for more than 30 days in a significant proportion of patients after uncomplicated cataract surgery and may be responsible for late onset of cystoid macular edema cases.

trial registrationClinicalTrials.gov identifier, NCT03317847.

Indexed as

AgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalBenzophenonesBromobenzenesCataract ExtractionDexamethasoneFemaleHumansInflammationLasersMacular EdemaMaleMiddle AgedPhacoemulsificationPhotometryAnti-Inflammatory Agents, Non-SteroidalBenzophenonesbromfenacBromobenzenesDexamethasoneCataract surgeryLaser flare photometryNon-steroidal anti-inflammatory drugs

Identifiers

PMID32440977
OpenAlexW3026760437

What OpenQuestion holds

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Registered trials

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.