Evidence map›Paper›PMID 33409680›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2021

Clinico-demographic profile and outcomes of 25-gauge vitrectomy in advanced stage 5 retinopathy of prematurity.

Renu P Rajan, Naresh Babu Kannan, Sagnik Sen, Lavanya C, Soumya Jena, Karthik Kumar, P Vijayalakshmi, Kim Ramasamy

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 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
0.6field-weighted citation impact, top 35% 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, 5 citations in OpenAlex.

  1. Review
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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 1 institution in 1 country.

Renu P RajanDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
Naresh Babu KannanDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
Sagnik SenDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India. riksag@gmail.com.ORCID http://orcid.org/0000-0001-5835-5371
Lavanya CDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
Soumya JenaDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
Karthik KumarDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
P VijayalakshmiDepartment of Pediatric Ophthalmology, Aravind Eye Hospital, Madurai, India.
Kim RamasamyDepartment of Vitreo-Retina, Aravind Eye Hospital, Madurai, India.
Aravind Eye Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStage 5 retinopathy of prematurity is a difficult condition to treat despite technological advances in vitreous surgery.

methodsA retrospective chart review of all consecutive cases of stage 5 ROP was performed between December 2016 and December 2018, and 21 babies were included for assessment of surgical outcomes using a modified vitrectomy technique. Data extracted from documents included demography, ROP screening status, preoperative prophylactic therapy, clinical presentation, surgery performed, and postsurgical outcomes.

resultsOut of the 21 babies, ophthalmologist screening was done in 42.9%. Mean birth weight was 1185 ± 222.4 g with a mean gestational age of 29.86 ± 2.0 weeks and mean post-menstrual age of 44.55 ± 9.82 weeks. Lesser than stage 5 disease was seen in 16.7% of eyes and they were managed accordingly. Seventy percent of babies had bilateral disease. 21 eyes underwent 25-gauge pars plicata vitrectomy using a modified technique. After an average follow-up duration of 6.33 ± 2.18 months, the final macular attachment rate was 19%. Anteriorly closed-posteriorly closed type configuration of retinal detachments had a poorer outcome. Fix and follow visual acuity was achieved in 23.8% of eyes, while 57.1% of eyes had a perception of light.

conclusionsManagement of stage 5 ROP is mostly surgical; however, the risk of ending up with a poor vision or vision loss is high, irrespective of whether surgery is performed. The modified surgical technique with a spacer described in this study may help in better manipulation of instruments inside the vitreous cavity.

Indexed as

Retinal DetachmentRetinopathy of PrematurityChild, PreschoolDemographyFollow-Up StudiesGestational AgeHumansInfantInfant, NewbornRetrospective StudiesTreatment OutcomeVitrectomyPars plana vitrectomyROPStage 5 ROP

Identifiers

PMID33409680
OpenAlexW3120140498

What OpenQuestion holds

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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.