Evidence map›Paper›PMID 33420954›Full record

ArticleOphthalmology and therapy2021

Foveal Eversion: A Possible Biomarker of Persistent Diabetic Macular Edema.

Alessandro Arrigo, Emanuela Aragona, Luigi Capone, Rosangela Lattanzio, Piero Zollet, Francesco Bandello

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Alessandro ArrigoDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy. alessandro.arrigo@hotmail.com.ORCID http://orcid.org/0000-0003-4715-8414
Emanuela AragonaDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy.
Luigi CaponeDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy.
Rosangela LattanzioDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy.
Piero ZolletDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy.
Francesco BandelloDepartment of Ophthalmology, Scientific Institute San Raffaele Hospital, University Vita-Salute, Milan, Italy.
Vita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to evaluate the impact of foveal eversion on treatment response and persistent diabetic macular edema (DME).

methodsThe study was designed as interventional and prospective. DME eyes were treated with ranibizumab and/or dexamethasone (DEX) implants, or with fluocinolone acetonide (FAc) implants. FAc-treated eyes were eventually retreated by additional ranibizumab injections. Main outcome measure was the relationship between foveal eversion and both clinical outcome and persistent DME.

resultsSixty-eight DME eyes (68 patients) treated by anti-VEGF/DEX and 50 FAc-treated eyes (50 patients) were recruited. The follow-up was 16 ± 3 months. The anti-VEGF/DEX group and FAc-treated group were statistically matched for age, sex, DME duration and previous number of injections (p > 0.05). Both groups experienced statistically significant improvements of both BCVA and central macular thickness (p < 0.01) at the end of the follow-up. Persistent DME was shown by 46% of anti-VEGF/DEX eyes and 42% of FAc-treated eyes. Foveal eversion was found in 50% of anti-VEGF/DEX eyes and in 44% of FAc-treated eyes. Its presence was associated with worse anatomical and visual outcome and higher persistence of DME in both groups (p < 0.01) and with higher retreatment percentages in FAc-treated eyes (p < 0.01).

conclusionFoveal eversion is associated with worse clinical and morphological outcomes in DME.

Indexed as

Anti-VEGFDexamethasone implantDiabetic macular edemaFluocinolone acetonideFoveal eversionOCT

Identifiers

PMID33420954
PMCPMC7886958
OpenAlexW3118712603

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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.