Evidence map›Paper›PMID 33389423›Full record

Trial reportInternational ophthalmology2021

The effect of hemodialysis on individual retinal layer thickness.

Idit Maharshak, Idan Hecht, Lihi Mankuta, Asaf Achiron, Oriel Spierer, Zvia Burgansky, Asaf Bar, Aliza Grossbard, Anna Katkov, Relu Cernes and 1 more

Abstract readClinical Trial
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In one paragraph

Trial report in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

11 authors at 2 institutions in 1 country.

Idit MaharshakDepartment of Ophthalmology, Edith Wolfson Medical Center, 62 Halochamim St, Holon, Israel. imaharshakt@gmail.com.ORCID http://orcid.org/0000-0003-2960-2809
Idan HechtDepartment of Ophthalmology, Shamir Medical Center, Beer Yaakov, Israel.
Lihi MankutaDepartment of Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Asaf AchironDepartment of Ophthalmology, Edith Wolfson Medical Center, 62 Halochamim St, Holon, Israel.
Oriel SpiererDepartment of Ophthalmology, Edith Wolfson Medical Center, 62 Halochamim St, Holon, Israel.
Zvia BurganskyDepartment of Ophthalmology, Meir medical center, Kefar Sava, Israel.
Asaf BarDepartment of Ophthalmology, Edith Wolfson Medical Center, 62 Halochamim St, Holon, Israel.
Aliza GrossbardDepartment of Nephrology and Hypertension, Edith Wolfson Medical Center, Holon, Israel.
Anna KatkovDepartment of Nephrology and Hypertension, Edith Wolfson Medical Center, Holon, Israel.
Relu CernesDepartment of Nephrology and Hypertension, Edith Wolfson Medical Center, Holon, Israel.
Leonid FeldmanDepartment of Nephrology and Hypertension, Edith Wolfson Medical Center, Holon, Israel.
Tel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to employ newly developed advanced image analysis software to evaluate changes in retinal layer thickness following hemodialysis.

methodsA non-randomized prospective study of patients with end-stage renal disease assessed on the same day before and after hemodialysis. Intraocular pressure and central corneal thickness were analyzed, and spectral domain optical coherence tomography results were automatically segmented using the Orion software and then compared. All patients had normal retinal optical coherence tomography findings before hemodialysis.

resultsOf the 31 suitable end-stage renal disease patients treated with hemodialysis who provided consent to participate, seven were unable to complete all evaluations, leaving 24 patients for analysis in the final study group. Their mean age was 66.67±14.3 years (range: 35-88), and 62.5% were males. Mean central corneal thickness did not change following hemodialysis (563.4±30.2 µm to 553.1±47.2 µm, p=.247), while mean intraocular pressure decreased (14.48±2.5 mmHg to 13.16±2.28 mmHg, p=.028). Individual mean retinal layer thickness showed no significant change, including the retinal nerve fiber layer (40.9±6.8 µm to 40.1±5.2 µm, p=.412), the ganglion cell and the inner plexiform layer (68.66±8 µm to 69.03±7.6 µm, p=.639), and the photoreceptor layer (50.26±2.8 µm to 50.32±3.1 µm, p=.869). Total retinal thickness similarly remained constant, with a mean of 303.7±17.3 µm before and 304.33±18.4 µm after hemodialysis (p=.571).

conclusionsThickness of retinal layers, as assessed by individual segmentation, and central corneal thickness were not affected by hemodialysis treatment, while intraocular pressure was significantly reduced among patients with end-stage renal disease without pre-existing ocular pathology who were undergoing hemodialysis. These results support the view that hemodialysis does not have a negative impact on the retinal morphology of end-stage renal disease patients, who comprise a population with high rates of diabetic and/or hypertensive retinopathy as well as vision-threatening complications.

Indexed as

RetinaTomography, Optical CoherenceAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesRenal Dialysis

Identifiers

PMID33389423
OpenAlexW3118996379

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Registered trials

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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.