Evidence map›Paper›PMID 33880684›Full record

ArticleInternational ophthalmology2021

Long-term effects of trabeculectomy in primary open-angle glaucoma on segmented macular ganglion cell complex alterations.

Atılım Armağan Demirtaş, Mine Karahan, Seyfettin Erdem, Adar Aslan Kaya, Uğur Keklikçi

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06000280 (Evaluation of Macular Thickness in Patients With Glaucoma in Use of Topical Prostaglandin Analogue Undergoing Trabeculectomy With Mitomycin C), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% 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.

NCT06000280 nacompletednot on this map

Evaluation of Macular Thickness in Patients With Glaucoma in Use of Topical Prostaglandin Analogue Undergoing Trabeculectomy With Mitomycin C

TypeinterventionalSponsorUniversidade Federal de GoiasRan2021 to 2023Enrolled37ConditionsGlaucomaArmsTrabeculectomy surgery
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. PreserFlo MicroShunt versus trabeculectomy: an updated meta-analysis and systematic review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
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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

5 authors at 2 institutions in 1 country.

Atılım Armağan DemirtaşDepartment of Ophthalmology, Izmir Tepecik Training and Research Hospital, Health Sciences University, Izmir, Turkey. atilimdemirtas77@gmail.com.ORCID http://orcid.org/0000-0002-6504-8385
Mine KarahanDepartment of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-3591-721X
Seyfettin ErdemDepartment of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0001-5742-1293
Adar Aslan KayaDepartment of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0003-3970-5350
Uğur KeklikçiDepartment of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0003-2348-4856
Dicle University · TRIzmir University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to compare, using optical coherence tomography (OCT), the changes in the thickness of the macular nerve fiber layer (mNFL), macular ganglion cell layer (mGCL), macular inner plexiform layer (mIPL) and peripapillary global retinal nerve fiber layer (gRNFL) (in a span of 3 years) in surgically treated eyes with primary open-angle glaucoma (POAG).

methodsThe medical records of 32 consecutive POAG patients who underwent trabeculectomy with mitomycin-C, between January 2013 and December 2014, were retrospectively reviewed. Pre- and postoperative measurements of IOP and OCT were analyzed 1, 2 and 3 years after the operation.

resultsAmong all patients, no significant changes in the thickness of the mNFL, mGCL or mIPL were found, with a significant reduction observed only in the IOP values and peripapillary gRNFL thickness during the 3-year postoperative period. In a subgroup analysis based on the preoperative peak IOPs (median value:41 mmHg), the thickness of the mNFL, mGCL and mIPL in the 3-year postoperative period increased significantly in the lower preoperative peak IOP group (IOP < 41 mmHg), whereas the macular OCT parameters in the 3-year postoperative period decreased in the higher preoperative peak IOP group.

conclusionsEyes exhibiting lesser preoperative peak IOP demonstrated greater preservation of the layer-by-layer segmented macular ganglion cell complex thickness as compared to eyes exhibiting greater preoperative peak IOP; also when the IOPs determined for the two groups in the period of follow-up were quite comparable.

Indexed as

Glaucoma, Open-AngleTrabeculectomyHumansIntraocular PressureNerve FibersRetinal Ganglion CellsRetrospective StudiesTomography, Optical CoherenceGanglion cell complexMacular ganglion cell layerMacular inner plexiform layerMacular nerve fiber layerOptical coherence tomographyTrabeculectomy

Identifiers

PMID33880684
OpenAlexW3154186213

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.