Evidence map›Paper›PMID 33413210›Full record

Trial reportBMC ophthalmology2021

Effect of capsular tension ring implantation on capsular stability after phacoemulsification in patients with weak zonules: a randomized controlled trial. CTR implantation in cataract patients with weak zonules.

Shangfei Yang, Hui Jiang, Kailai Nie, Liwen Feng, Wei Fan

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  7. Distribution and associations of anterior lens zonules lengths in patients with cataract.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
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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

5 authors at 1 institution in 1 country.

Shangfei YangDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
Hui JiangDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
Kailai NieDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
Liwen FengDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
Wei FanDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China. fanwei55@yahoo.com.ORCID http://orcid.org/0000-0002-9674-114X
Sichuan University · CN

Funding

National Natural Science Foundation of China No. 81670869
6 · The paper itself

Abstract

backgroundThe use of capsular tension ring (CTR) implantation to treat cataract patients with weak zonules is still controversial. The aim of this study was to examine the effects of CTR implantation on capsular stability after phacoemulsification in patients with weak zonules, especially patients who have undergone pars plana vitrectomy (PPV) or those who suffer from severe myopia.

methodsA total of 42 patients who underwent phacoemulsification and received an intraocular lens (IOL) were randomized to undergo CTR implantation or not. The control and CTR groups were compared in terms of uncorrected distant visual acuity (UDVA), best corrected distant visual acuity (BCDVA), refractive prediction error, the area of anterior capsulorhexis, and IOL inclination angle. Follow-up visits were conducted postoperatively at 1 day, 1 week, 1 month and 3 months. Subgroup analyses were performed based on PPV and severe myopia.

resultsSurgery significantly improved UDVA and BCDVA to similar extents in CTR and control patients, and refraction prediction error was similar between the two groups at all follow-up times. At 3 months after surgery, the area of anterior capsulorhexis was significantly larger in CTR patients than in controls (p = 0.0199). These differences were also significant between the subgroups of patients with severe myopia. Vertical IOL inclination was less within CTR groups at 3 months after surgery, especially in patients with severe myopia (p = 0.0286). At 1 week postoperatively, the proportion of individuals whose posterior lens capsule that had completely adhered to the posterior IOL surface was significantly higher among CTR patients (p = 0.023). No serious surgical complications were observed.

conclusionCTR implantation can benefit cataract patients with weak zonules by maintaining the shape of the capsular bag, reducing capsule shrinkage and stabilizing IOL inclination.

trial registrationChinese Clinical Trial Registry ChiCTR-INR-17011217 , date of registration April 22, 2017, prospectively registered.

Indexed as

CataractCataract ExtractionLens Capsule, CrystallineLenses, IntraocularPhacoemulsificationHumansLens Implantation, IntraocularCapsular tension ringCataractPars plana vitrectomyPhacoemulsificationSevere myopiaWeak zonules

Identifiers

PMID33413210
PMCPMC7792360
OpenAlexW3119891029

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.