Evidence map›Paper›PMID 33392941›Full record

SynthesisInternational ophthalmology2021

Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis.

Shan-Shan Li, Min Li, Ran You, Hui-Hui Wang, Lu Zhao, Yan-Ling Wang, Xi Chen

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Chromovitrectomy: current evidence, emerging technologies, and practical applications in vitreoretinal surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    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

7 authors at 2 institutions in 1 country.

Shan-Shan LiDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Min LiClinical Epidemiology and EBM Unit, National Clinical Research Center for Digestive Disease, Beijing, China.
Ran YouDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Hui-Hui WangDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Lu ZhaoDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Yan-Ling WangDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. wangyanling999@vip.sina.com.
Xi ChenDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. xichen@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-8066-3394
Capital Medical University · CNNational Clinical Research Center for Digestive Diseases · CN

Funding

Capital's Funds for Health Improvement and Research No.2018-1-2021National Natural Science Foundation of China No. 81870686Natural Science Foundation of Beijing Municipal No.7184201Seed Project from Beijing Friendship Hospital and Capital Medical University no. YYZZ2017B06
6 · The paper itself

Abstract

purposePars plana vitrectomy is the gold standard for the treatment of idiopathic macular hole. Several chromovitrectomy dyes have been used to improve the visualization of the internal limiting membrane (ILM), including indocyanine green, trypan blue (TB), brilliant blue G (BBG), and triamcinolone acetonide (TA). We conducted a network meta-analysis (NMA) to establish the optimum concentration of chromovitrectomy dye-assisted ILM peeling for IMH.

methodsWe searched PubMed, Embase, and Cochrane Library for relevant studies before January 2020. We performed a random-effects NMA using STATA version 15.1 to assess mean difference and odds ratios with 95% confidence intervals.

resultsWe identified twelve retrospective trails and five randomized controlled trials (RCTs), comprising 1 492 patients of IMH on stage II-IV for ILM peeling. The results of IMH closure rate show that the effect of ILM peeling without dye was better than 0.25% ICG, the effects of ILM peeling with 0.5% ICG or TA were better than without dye, and the effects of ILM peeling with 0.05% BBG, 0.15% TB, 0.5% ICG or 0.05% ICG were better than 0.25% ICG. Ranking probability analysis shows that the rates of IMH closure after ILM peeling with 0.15% TB or 0.05% BBG were better than nine other concentrations of chromovitrectomy dyes.

conclusionThe 0.15% TB and 0.05% BBG were recommended as the better efficient treatment-assisted ILM peeling for IMH closure. For retina specialists who prefer to use ICG to assist ILM peeling, 0.05% ICG may be a good choice. However, high-quality large-scale RCTs are recommended to confirm the NMA results.

Indexed as

Epiretinal MembraneRetinal PerforationsBasement MembraneColoring AgentsHumansIndocyanine GreenRetinaRetrospective StudiesTreatment OutcomeVisual AcuityVitrectomyColoring AgentsIndocyanine GreenBrilliant blue GIdiopathic macular holeIndocyanine greenInternal limiting membrane peelingNetwork meta-analysisTrypan blue

Identifiers

PMID33392941
OpenAlexW3120412764

What OpenQuestion holds

Textmetadata
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.