Evidence map›Paper›PMID 33606200›Full record

ArticleOphthalmology and therapy2021

Structural OCT Parameters Associated with Treatment Response and Macular Neovascularization Onset in Central Serous Chorioretinopathy.

Alessandro Arrigo, Alessandro Calamuneri, Emanuela Aragona, Alessandro Bordato, Alessio Grazioli Moretti, Alessia Amato, Francesco Bandello, Maurizio Battaglia Parodi

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 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

8 authors at 3 institutions in 1 country.

Alessandro ArrigoDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy. alessandro.arrigo@hotmail.com.ORCID http://orcid.org/0000-0003-4715-8414
Alessandro CalamuneriUniversity of Messina, Messina, Italy.
Emanuela AragonaDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Alessandro BordatoDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Alessio Grazioli MorettiDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Alessia AmatoDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Francesco BandelloDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Maurizio Battaglia ParodiDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
IRCCS Ospedale San Raffaele · ITUniversity of Messina · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to assess quantitative factors associated with treatment response and macular neovascularization (MNV) onset in central serous chorioretinopathy (CSC) through an artificial intelligence-based approach.

methodsThe study was designed as an interventional, prospective case series with a planned follow-up of 36 months. We included only eyes demonstrating the first episode of CSC. All the patients underwent eplerenone or photodynamic therapy (PDT) treatment. Eyes developing MNV underwent anti-VEGF injections. We developed an artificial intelligence-based model to assess predictive quantitative structural optical coherence tomography (OCT) factors related to treatment response and onset of MNV. Main outcome measures were best-correct visual acuity (BCVA), central macular thickness (CMT), retinal thickness (RT), retinal pigment epithelium (RPE) thickness, choroidal thickness, Sattler's layer thickness (SLT), Haller's layer thickness, retinal and choroidal hyperreflective foci (HF), and MNV.

resultsWe included 96 naïve CSC eyes (96 patients). Baseline BCVA was 0.18 ± 0.25 logMAR, which increased to 0.16 ± 0.27 logMAR after 3 years (p > 0.05). Baseline CMT was 337 ± 126 µm, which improved to 229 ± 40 µm after 3 years (p < 0.01). We observed good response to eplerenone in 40/78 (51%) eyes, whereas 38/78 (49%) eyes underwent PDT. The artificial intelligence model showed choroidal HF and age as determining factors of good response to eplerenone or PDT. RPE thickness < 36 µm, RT < 300 µm, and SLT < 50 µm increased probability of 50% of having MNV.

conclusionsCSC response to eplerenone or PDT is influenced by choroidal HF and patient age. RPE and SLT represent relevant factors for onset of MNV.

Indexed as

Artificial intelligenceCentral serous chorioretinopathyEplerenoneOCTPhotodynamic therapyTreatment response

Identifiers

PMID33606200
PMCPMC8079563
OpenAlexW3131683873

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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.