Evidence map›Paper›PMID 34146222›Full record

ArticleJapanese journal of ophthalmology2021

Clinical features and symptoms of IgG4-related ophthalmic disease: a multicenter study.

Hiroshi Goto, Shun-Ichiro Ueda, Rei Nemoto, Koh-Ichi Ohshima, Yuka Sogabe, Kazuko Kitagawa, Yoko Ogawa, Tokuhide Oyama, Minoru Furuta, Atsushi Azumi and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Japanese journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

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  15. IgG4-related hypertensive granulomatous anterior uveitis.American journal of ophthalmology case reports · 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

11 authors at 9 institutions in 1 country.

Hiroshi Goto *Department of Ophthalmology, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. goto-1115@tokyo-med.ac.jp.
Shun-Ichiro Ueda *Department of Ophthalmology, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Rei NemotoDepartment of Ophthalmology, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Koh-Ichi OhshimaOkayama Medical Center, Okayama, Japan.
Yuka SogabeMitoyo General Hospital, Kagawa, Japan.
Kazuko KitagawaKanazawa Medical University, Kanazawa, Japan.
Yoko OgawaKeio University, Tokyo, Japan.
Tokuhide OyamaNiigata University, Niigata, Japan.
Minoru FurutaFukushima Medical University, Fukushima, Japan.
Atsushi AzumiKobe Kaisei Hospital, Kobe, Japan.
Masayuki TakahiraKanazawa University, Kanazawa, Japan.
Tokyo Medical University · JPFukushima Medical University · JPKanazawa Medical University · JPKanazawa University · JPKeio University · JPKobe Kaisei Hospital · JPMito Saiseikai General Hospital · JPNiigata University · JPOkayama Medical Center · JP

Funding

Ministry of Health, Labor and Welfare Research Program on Rare and Intractable Diseases JPMH20FC1040
6 · The paper itself

Abstract

purposeThe aim of this study was to elucidate the clinical features and symptoms of IgG4-related ophthalmic disease (IgG4-ROD). STUDY

designRetrospective, multicenter study.

methodsThe medical charts of 378 patients with IgG4-ROD diagnosed at 9 hospitals in Japan were reviewed. The demographic profiles, clinical findings, and ocular symptoms of the patients were analyzed.

resultsOn the basis of the diagnostic criteria for IgG4-ROD, the diagnosis was definite in 261 patients (69%), probable in 45 patients (12%), and possible in 72 patients (19%). The patients' mean age at the time of diagnosis was 60.6 ± 13.9 years; 195 (52%) were male. The mean IgG4 serum level at the time of the initial diagnosis was 578.9 mg/dL. Imaging studies showed pathologic lesions as follows: lesions in the lacrimal glands (86%), extraocular muscles (21%), trigeminal nerve (20%), and eyelids (12%); isolated orbital mass (11%); diffuse orbital lesion (8%); lesion in the perioptic nerve (8%); and lesion in the sclera (1%). The ophthalmic symptoms included dry eye (22%), diplopia (20%), decreased vision (8%), and visual field defects (5%). IgG4-ROD with extraocular lesions was observed in 182 patients (48%).

conclusionAlthough the lacrimal glands are well known to be the major pathologic site of IgG4-ROD, various ocular tissues can be affected and cause ophthalmic symptoms including visual loss.

Indexed as

Eye DiseasesImmunoglobulin G4-Related DiseaseOrbital DiseasesHumansImmunoglobulin GMaleRetrospective StudiesImmunoglobulin GIgG4-related diseaseIgG4-related ophthalmic diseaseLymphoproliferative diseaseOcular adnexaOrbit

Identifiers

PMID34146222
OpenAlexW3167622344

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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.