Evidence map›Paper›PMID 33430389›Full record

ReviewPharmaceutics2021

Real-World Efficacy and Safety of Fluocinolone Acetonide Implant for Diabetic Macular Edema: A Systematic Review.

Laurent Kodjikian, Stephanie Baillif, Catherine Creuzot-Garcher, Marie-Noëlle Delyfer, Frédéric Matonti, Michel Weber, Thibaud Mathis

Abstract readReview
In one paragraph

Review in Pharmaceutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

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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

7 authors.

Laurent KodjikianDepartment of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Lyon 1, 69004 Lyon, France.ORCID 0000-0002-3908-6716
Stephanie BaillifDepartment of Ophthalmology, Pasteur 2 University Hospital, 06000 Nice, France.
Catherine Creuzot-GarcherDepartment of Ophthalmology, Dijon-Bourgogne University Hospital, 21000 Dijon, France.
Marie-Noëlle DelyferDepartment of Ophthalmology, Bordeaux 2 University Hospital, 33000 Bordeaux, France.
Frédéric MatontiMonticelli Paradis Center, 13000 Marseille, France.ORCID 0000-0002-6180-3937
Michel WeberDepartment of Ophthalmology, Nantes University Hospital, 44000 Nantes, France.ORCID 0000-0001-5884-1177
Thibaud MathisDepartment of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Lyon 1, 69004 Lyon, France.ORCID 0000-0002-1418-1872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess real-world outcomes of fluocinolone acetonide (FAc) implant in treating diabetic macular edema (DME), a systematic literature review was conducted on PubMed in order to identify publications assessing the efficacy and safety of the FAc implant in DME in daily practice. Case reports and randomized controlled trials were excluded. Twenty-two observational real-world studies analyzing a total of 1880 eyes were included. Mean peak visual gain was +8.7 letters (11.3 months post-FAc injection) and was greater for lower baseline best corrected visual acuity (BCVA) and for more recent DME. Mean central retinal thickness (CRT) decreased 34.3% from baseline. 77.0% of the analyzed studies reported both BCVA improvement of at least five letters and a CRT decrease by 20% or more. Rescue therapy was needed more frequently when FAc was administered for chronic DME. FAc-induced ocular hypertension was reported in 20.1% of patients but only 0.6% needed surgery. Cataract extraction was performed in 43.2% of phakic patients. Adequate patient selection is essential for optimal FAc response and better safety profile. Currently positioned as second- or third-line treatment in the management algorithm, FAc implant decreases treatment burden and provides better letter gain when administered for more recent DME.

Indexed as

diabetic macular edemaDMEefficacyFAcfluocinolone acetonidereal-worldsafety

Identifiers

PMID33430389
PMCPMC7827527

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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.