Evidence map›Paper›PMID 33387554›Full record

ArticleOphthalmology2021

Retinal Detachment after Treatment of Retinopathy of Prematurity with Laser versus Intravitreal Anti-Vascular Endothelial Growth Factor.

Gerard P Barry, Yinxi Yu, Gui-Shuang Ying, Lauren A Tomlinson, Juliann Lajoie, Marilyn Fisher, Gil Binenbaum, G-ROP Study Group

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Complications of cataract surgery in eyes with retinopathy of prematurity: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  19. IMI-Management and Investigation of High Myopia in Infants and Young Children.Investigative ophthalmology & visual science · 2023
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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 3 institutions in 1 country.

Gerard P BarryAlbany Medical College, Department of Ophthalmology, Albany, New York. Electronic address: barryg@amc.edu.
Yinxi YuCenter for Preventive Ophthalmology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania.
Gui-Shuang YingCenter for Preventive Ophthalmology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania.
Lauren A TomlinsonChildren's Hospital of Philadelphia, Department of Ophthalmology, Philadelphia, Pennsylvania.
Juliann LajoieAlbany Medical College, Department of Ophthalmology, Albany, New York.
Marilyn FisherAlbany Medical College, Department of Pediatrics, Albany, New York.
Gil BinenbaumChildren's Hospital of Philadelphia, Department of Ophthalmology, Philadelphia, Pennsylvania.
G-ROP Study Group
Albany Medical Center Hospital · USChildren's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Postnatal Growth and Retinopathy of Prematurity (G-ROP) StudiesR01EY021137 · NEI · CHILDREN'S HOSP OF PHILADELPHIA · PI BINENBAUM, GIL · 2012 to 2016
$4.3M
NEI NIH HHS R01 EY021137
6 · The paper itself

Abstract

purposeTo compare rates of short-term retinal detachment (RD) of infants treated for type 1 retinopathy of prematurity (ROP) with intravitreal anti-vascular endothelial growth factor (VEGF) therapy with infants treated with laser therapy. The choice between these 2 treatments remains controversial. Comparative data are limited and describe re-treatment rates rather than retinal structural outcomes predictive of long-term vision. Anti-vascular endothelial growth factor acts faster than laser therapy, which may be beneficial for more aggressive ROP.

designNonrandomized, comparative cohort study.

participantsThe study included 1167 eyes of 640 infants treated for type 1 ROP. Among these, 164 eyes received anti-VEGF therapy and 1003 eyes received laser therapy.

methodsPretreatment and posttreatment examinations and treatments were completed by ophthalmologists with expertise in ROP. The study was a secondary analysis of data from the retrospective Postnatal Growth and Retinopathy of Prematurity Study (G-ROP) 1 study (2006-2012) and the prospective G-ROP 2 study (2015-2017).

main outcome measuresRate of RD (ROP stages 4A, 4B, or 5) within 8 weeks of initial treatment, an end point predictive of poor long-term vision. The results were stratified by postmenstrual age (PMA) at treatment as occurring before versus at or after 36 weeks and 0 days, because earlier disease may be considered more aggressive.

resultsAmong 458 eyes treated before PMA 36 weeks and 0 days, the short-term RD rate was higher after laser therapy (29/368 eyes [7.9%]) than after anti-VEGF therapy (0/90 eyes [0%]; P < 0.001). Of 709 eyes treated at or after PMA 36 weeks and 0 days, short-term RD risk did not differ between groups (laser [20/635 eyes], 3.1%; anti-VEGF [1/74 eyes], 1.4%; P = 0.27).

conclusionsAnti-vascular endothelial growth factor therapy results in better short-term structural outcomes than laser therapy when type 1 ROP is treated before 36 weeks' PMA. After this age, both treatments have very low rates of short-term RD. The faster action of anti-VEGF agents likely is responsible for these findings.

Indexed as

Laser CoagulationPostoperative ComplicationsAngiogenesis InhibitorsBevacizumabBirth WeightFemaleGestational AgeHumansInfantInfant, NewbornIntravitreal InjectionsMaleProspective StudiesRanibizumabRetinal DetachmentRetinopathy of PrematurityAngiogenesis InhibitorsBevacizumabRanibizumabVascular Endothelial Growth Factor AVEGFA protein, humanAnti–vascular endothelial growth factorLaser photocoagulationRetinal detachmentRetinopathy of prematurity

Identifiers

PMID33387554
PMCPMC8819483
OpenAlexW3113479879

What OpenQuestion holds

Textmetadata
LicenceTDM
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.