Evidence map›Paper›PMID 33833870›Full record

ArticleJournal of ophthalmology2021

Optical Coherence Tomography Predictors of Favorable Functional Response in Naïve Diabetic Macular Edema Eyes Treated with Dexamethasone Implants as a First-Line Agent.

Alessandro Meduri, Giovanni William Oliverio, Luigi Trombetta, Marta Giordano, Leandro Inferrera, Costantino John Trombetta

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 31 citations in OpenAlex.

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  7. OCT Angiography Features in Diabetes Mellitus Type 1 and 2.Diagnostics (Basel, Switzerland) · 2022
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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 MeduriDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0001-7546-9178
Giovanni William OliverioDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0003-3127-9756
Luigi TrombettaDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0002-4992-8665
Marta GiordanoDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0003-0455-5129
Leandro InferreraDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0003-2854-4141
Costantino John TrombettaDepartment of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0002-6487-4044
University of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate efficacy and safety of intravitreal dexamethasone 0.7 mg implant in treatment-naïve DME patients and to assess the utility of OCT structural biomarkers as predictors of functional response after treatment.

methodsThirty-nine eyes of 39 diabetic patients with center involving DME were enrolled. Best-corrected visual acuity (BCVA) and SS-OCT (DRI SS-OCT Triton, Topcon, Japan) to evaluate central retinal thickness (CRT), serous retinal detachment (SRD), intraretinal cysts (IRC), number of hyper-reflective spots (HRS), integrity of the ellipsoid zone (EZ), disorganization of the inner retinal layers (DRIL), vitreomacular adhesion (VMA), vitreomacular traction (VMT), and posterior vitreous detachment (PVD) were evaluated at baseline and at 3, 6, and 12 months after treatment. Multiple logistic analysis was performed to evaluate the possible OCT biomarker as predictive factors for final visual acuity improvement at the end of treatment.

resultsAt 12 months after treatment, the mean BCVA improved from 51.6 ± 17.5 to 56.9 ± 17.3 ETDRS letters (

conclusionThis study empathized the importance of structural biomarkers as predictors of favorable response and confirmed the efficacy and safety of intravitreal dexamethasone implant in treatment-naïve DME patients showing a better functional response in the presence of SRD integrity of EZ and absence of vitreoretinal alterations.

Identifiers

PMID33833870
PMCPMC8012128
OpenAlexW3138870540

What OpenQuestion holds

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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.