Evidence map›Paper›PMID 33595486›Full record

Trial reportIndian journal of ophthalmology2021

Effect of dexmedetomidine on intraocular pressure as an additive in peribulbar block during glaucoma surgery.

Julie Pegu, Amit Kumar Purang, Suneeta Dubey, Preety Gautam, Ritu Garg, Monica Gandhi, Madhu Bhoot, Parul Dutta, Rigalla Laikhuram

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 38% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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

9 authors at 1 institution in 1 country.

Julie PeguGlaucoma Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Amit Kumar PurangGlaucoma Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Suneeta DubeyGlaucoma Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Preety GautamDepartment of Anesthesiology, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Ritu GargDepartment of Anesthesiology, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Monica GandhiGlaucoma Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Madhu BhootGlaucoma Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Parul DuttaDepartment of Anesthesiology, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Rigalla LaikhuramDepartment of Optometry, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Dr. Shroff’s Charity Eye Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study is to assess the effect of dexmedetomidine on intraocular pressure (IOP) as an additive in peribulbar injections in glaucoma surgeries. Methods: A prospective, randomized, double-blind, parallel assignment interventional study was conducted for patients undergoing glaucoma surgeries at a tertiary eye care hospital in North India. Patients were randomized to two groups, Dexmed group and Placebo group. In the Dexmed group, dexmedetomidine (0.4 μg/kg body weight) was given as an additive along with peribulbar block. The primary outcome was change in IOP pre- and postperibulbar injections (IOP before the block, and after 5 and 15 min of the block). Secondary outcome measures were onset of block, adverse effects (bradycardia, hypotension, respiratory depression, and level 4 sedation), and surgeon satisfaction. Results: A total of 104 patients were randomized, 52 each in the Dexmed group and Placebo group. The percentage decrease in IOP was significantly more in the Dexmed group than in the Placebo group both at 5 and 15 min' post block (P < 0.05). At 5 min, the mean percent decrease in IOP in Dexmed group was -10.48, whereas it was 2.85 in the Placebo group. At 15 min, the mean percent decrease in IOP was -22.59 and -9.42 in the Dexmed and Placebo group, respectively. There was no significant difference between the two groups in the onset of block and adverse effects. Surgeon satisfaction was significantly greater in the Dexmed group than the Placebo group (P < 0.05). Conclusion: Dexmedetomidine lowers IOP significantly in patients undergoing glaucoma surgeries with safe hemodynamic changes and sedative effect.

Indexed as

DexmedetomidineGlaucomaHumansIndiaIntraocular PressureProspective StudiesDexmedetomidineDexmedetomidineintraocular pressureperibulbar blocktrabeculectomy

Identifiers

PMID33595486
PMCPMC7942109
OpenAlexW3132822010

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.