Evidence map›Paper›PMID 34258879›Full record

ArticleActa ophthalmologica2022

In-depth analysis of risk factors for pseudophakic retinal detachments and retinal breaks.

Maximilian Gabriel, Manuel Großpötzl, Fabian Wallisch, Daniel Djavid, Gudrun Pregartner, Anton Haas, Andreas Wedrich, Christoph Mayer-Xanthaki

Abstract read
In one paragraph

Article in Acta ophthalmologica, 2022. 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
–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.

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.

  1. Pooled it
  2. Article
  3. Observational
  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

8 authors.

Maximilian GabrielDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-3329-5779
Manuel GroßpötzlDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Fabian WallischDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Daniel DjavidDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Gudrun PregartnerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Anton HaasDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Andreas WedrichDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Christoph Mayer-XanthakiDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-6458-0775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide a detailed analysis of risk factors for pseudophakic retinal detachments (PRD) and pseudophakic retinal breaks (PRB). MATERIALS AND

methodsWe reviewed the medical records of cataract surgeries between 1996 and 2017 at a tertiary care hospital in Austria. A Cox proportional-hazard regression model was used to analyse risk factors for PRD and PRB.

resultsSixty-five thousand six hundred and sixty-two eyes (45 043 patients) underwent phacoemulsification, and 393 eyes (cumulative incidence 0.6%) were diagnosed with PRD (327 eyes) or PRB (66 eyes) during the follow-up (median 7.1 years, range 0-21). Calculation of adjusted hazard ratios (HR) revealed a hierarchy of risk factors for either event including (from the highest to the lowest risk) posterior capsular rupture (PCR), patient age <65 years (compared with the age group >75 years), male gender and high myopia. Diabetes mellitus was associated with a lower risk. PCR was the strongest risk factor for PRD both in patients with and without perioperative vitrectomy (i.e. vitreous loss), but time to PRD was significantly reduced only following PCR with vitrectomy.

conclusionsPosterior capsular rupture, young patient age, male gender and high myopia were risk factors for PRD, but diabetes mellitus was associated with a lower risk. PCR had the strongest association with PRD, regardless of the need for perioperative vitrectomy due to vitreous loss. Time to PRD was reduced in patients with PCR and vitrectomy compared with PCR without the need for vitrectomy or uneventful surgery.

Indexed as

MyopiaRetinal DetachmentRetinal PerforationsAgedHumansMalePostoperative ComplicationsPseudophakiaRetrospective StudiesRisk FactorsVitrectomycapsular rupturecataractmyopiaphacoemulsificationpseudophakiaretinal breaksretinal detachment

Identifiers

PMID34258879
PMCPMC9290023

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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.