Evidence map›Paper›PMID 33531597›Full record

Observational studyScientific reports2021

Central serous chorioretinopathy in active endogenous Cushing's syndrome.

Joost Brinks, Femke M van Haalen, Thomas J van Rijssen, Nienke R Biermasz, Onno C Meijer, Alberto M Pereira, Camiel J F Boon, Elon H C van Dijk

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Sex Hormones in Males and Females with Active Central Serous Chorioretinopathy.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2022
    Article
  10. Article
  11. Article
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 2 institutions in 1 country.

Joost Brinks *Department of Ophthalmology, Leiden University Medical Center, Department J3-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Femke M van Haalen *Department of Medicine, Division of Endocrinology, and Center for Endocrine Tumors, Leiden University Medical Center, Leiden, The Netherlands.
Thomas J van RijssenDepartment of Ophthalmology, Leiden University Medical Center, Department J3-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Nienke R BiermaszDepartment of Medicine, Division of Endocrinology, and Center for Endocrine Tumors, Leiden University Medical Center, Leiden, The Netherlands.
Onno C MeijerDepartment of Medicine, Division of Endocrinology, and Center for Endocrine Tumors, Leiden University Medical Center, Leiden, The Netherlands.
Alberto M PereiraDepartment of Medicine, Division of Endocrinology, and Center for Endocrine Tumors, Leiden University Medical Center, Leiden, The Netherlands.
Camiel J F BoonDepartment of Ophthalmology, Leiden University Medical Center, Department J3-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Elon H C van DijkDepartment of Ophthalmology, Leiden University Medical Center, Department J3-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. ehcvandijk@lumc.nl.
Leiden University Medical Center · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple case series have provided evidence for a relatively high incidence of central serous chorioretinopathy (CSC) in patients with active Cushing's syndrome (CS). We describe the ophthalmological status in detail of consecutive patients with active endogenous CS (either de novo or recurrent active endogenous CS) in this prospective cohort study. All patients underwent complete ophthalmological examination, including multimodal imaging, which was performed shortly after establishing the diagnosis of active CS in hypercortisolemic state. Eleven CS patients (4 men, 7 women) with active hypercortisolism were included. Abnormalities reminiscent of (subclinical) CSC were found in 3 patients. Optical coherence tomography (OCT) revealed macular subretinal fluid in 1 patient, who was diagnosed as having active CSC and was successfully treated with half-dose photodynamic therapy. Two other patients showed CSC-like abnormalities: an unilateral pseudovitelliform lesion on OCT and hyperfluorescent changes on fluorescein angiography in one patient, and unilateral leakage on fluorescein angiography in the other patient. Mean subfoveal choroidal thickness on enhanced depth imaging OCT was 270 ± 40 μm (range, 178 - 357 μm). Retinal abnormalities resembling (subclinical) CSC may be more common than previously thought in patients with active CS, and may exist even in patients without visual complaints. Clinicians should have a low threshold for ophthalmological evaluation in case of a CS patient with visual symptoms since there may be therapeutic opportunities to prevent vision loss.

Indexed as

AdultAgedCentral Serous ChorioretinopathyChoroidCushing SyndromeFemaleFluorescein AngiographyHumansMaleMiddle AgedMultimodal ImagingPhotochemotherapyProspective StudiesTomography, Optical CoherenceVision, LowVisual Acuity

Identifiers

PMID33531597
PMCPMC7854641
OpenAlexW3127793391

What OpenQuestion holds

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LicenceCC BY
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.