Evidence map›Paper›PMID 33893866›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2021

Long-term outcomes of intravitreal activated protein C injection for ischemic central retinal vein occlusion: an extension trial.

Chikako Hara, Motohiro Kamei, Hirokazu Sakaguchi, Nagakazu Matsumura, Susumu Sakimoto, Mihoko Suzuki, Kentaro Nishida, Yoko Fukushima, Kohji Nishida

Open access · hybridAbstract read
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

9 authors at 2 institutions in 1 country.

Chikako HaraDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Motohiro KameiDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan. motokamei@gmail.com.ORCID http://orcid.org/0000-0001-7666-6456
Hirokazu SakaguchiDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Nagakazu MatsumuraDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Susumu SakimotoDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Mihoko SuzukiDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kentaro NishidaDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoko FukushimaDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kohji NishidaDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
The University of Osaka · JPAichi Medical University · JP

Funding

the Ministry of Education, Science and Culture of Japan a Grant-in-Aid for Scientific Research 15K10893
6 · The paper itself

Abstract

purposeOur previous 1-year pilot study evaluated the efficacy of intravitreally injected activated protein C (APC) in 10 eyes with ischemic central retinal vein occlusion (CRVO). The reperfusion of the areas of retinal nonperfusion (RNP) exceeded 50% of the baseline in five (50%) eyes 1 year after the APC injection. The current study evaluated the long-term efficacy and safety of intravitreal APC.

methodsThe 10 eyes in the pilot study were included in this study. Other treatments were administered at the physicians' discretion after the pilot study. We evaluated visual acuity (VA), central retinal thickness (CRT) and perfusion status, and adverse events and severity over the long term.

resultsThe median follow-up was 60 months (range, 48-68 months). Compared with baseline, the post-treatment VA improved significantly (P < 0.001) from 1.39 to 1.06 logarithm of the minimum angle of resolution. The CRT improved significantly (P < 0.001) from 1090 to 195 μm at the last visit. The RNP areas decreased from an average 29.7 disc areas (DAs) at baseline to an average 16.5 DAs at the last examination (mean, 40 ± 6.5 months after the first APC treatment). No adverse events were related to intravitreal APC.

conclusionNo complications were associated with intravitreal APC, the clinical course improved, and improved RNP was maintained for the long term, suggesting that intravitreal APC may be an alternative treatment for CRVO.

Indexed as

Macular EdemaRetinal Vein OcclusionAngiogenesis InhibitorsFollow-Up StudiesHumansIntravitreal InjectionsPilot ProjectsProtein CTomography, Optical CoherenceTreatment OutcomeAngiogenesis InhibitorsProtein CActivated protein CAnti-vascular endothelial growth factorCentral retinal vein occlusionMacular edemaRetinal nonperfusion

Identifiers

PMID33893866
PMCPMC8478745
OpenAlexW3155822156

What OpenQuestion holds

Textmetadata
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.