Evidence map›Paper›PMID 34007150›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2021

One-Year Outcome of Aflibercept Intravitreal Injection in Vitrectomized Eyes with Diabetic Macular Edema.

Thi Ha Chau Tran, Ali Erginay, Stephane Verdun, Eric Fourmaux, Jean-François Le Rouic, Joel Uzzan, Solange Milazzo, Stephanie Baillif, Laurent Kodjikian

Registry-linked trialAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02874859 (Aflibercept Injection for Treatment of Diabetic Macular Edema), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT02874859 completednot on this map

Aflibercept Injection for Treatment of Diabetic Macular Edema

TypeobservationalSponsorLille Catholic UniversityRan2016 to 2020Enrolled49ConditionsDiabetic Macular Edema
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  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.

Thi Ha Chau TranService d'Ophtalmologie, Université Catholique de Lille, Faculté de Médecine et Maieutique, INSERM U1171, Lille, France.
Ali ErginayService d'Ophtalmologie, Hôpital Lariboisière APHP, Universite de Paris, Paris, France.
Stephane VerdunDépartement de Recherche Médicale, Groupement des Hôpitaux Catholiques de Lille, Lille, France.ORCID 0000-0002-1381-3540
Eric FourmauxCentre Rétine Gallien, Bordeaux, France.
Jean-François Le RouicInstitut Ophtalmologique de l'Ouest Jules Verne, Ophtalliance, Nantes, France.
Joel UzzanClinique Mathilde, Rouen, France.ORCID 0000-0001-6686-4854
Solange MilazzoService d'Ophtalmologie, Centre Hospitalier Universitaire d'Amiens Picardie, Université de Picardie Jules Verne, Amiens, France.
Stephanie BaillifService d'Ophtalmologie, Centre Hospitalier Université Côte d'Azur, Université Côte d'Azur, Nice, France.ORCID 0000-0003-1700-8570
Laurent KodjikianService d'Ophtalmologie, Croix Rousse Hospital, Hospice Cilvils de Lyon 1, Université de Lyon 1, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy of intravitreal Aflibercept injection (IAI) for vitrectomized eyes with diabetic macular edema (DME) at one year.

methodsThis is a prospective, non-comparative, multicenter observational study including diabetic patients whose HbA1c is < 9%, with visual acuity between 20/400 to 20/40 due to DME, who have undergone vitrectomy since at least 3 months before the first aflibercept injection. Treatment protocol included 5 monthly aflibercept injection followed by a ProReNata regimen during the first year. Visual acuity, OCT findings and number of IAI were assessed at 6 months and one year.

resultsForty-six eyes were included. Indications for vitrectomy were epiretinal membrane (58.7%), intravitreal hemorrhage (26.1%), and vitreomacular traction (8.7%), retinal detachment (4.3%), and other cause (4.3%). Median duration of macular edema was 3 years. Median interval between vitrectomy and first visit was 9 months. Thirty eyes were non-naïve and received previously thermal laser (44.3%), intravitreal injection of triamcinolone (26.7%), of ranibizumab (70%), of dexamethasone implant (36.7%), or bevacizumab (6.7%). Data was available for 35 eyes at 1 year. Visual gain was significant, +6 letters (p <0.001) and central subfield thickness (CST) decreased significantly (-108μm, p < 0.001) at 1 year. Mean number of injections was 9.3 and mean interval injection was 5.8 weeks.

conclusionThese results suggest that IAI may be beneficial in vitrectomized eyes with refractory DME which require frequent injections to obtain visual and anatomical improvement. CLINICAL

trial registrationhttp://www.clinicaltrials.gov, registration Number NCT02874859.

Indexed as

afliberceptanti-VEGFdiabetic macular edemaDMEvitrectomy

Identifiers

PMID34007150
PMCPMC8123959

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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.