Evidence map›Paper›PMID 34292208›Full record

ReviewJournal of the Chinese Medical Association : JCMA2021

Modifications of intravitreal injections in response to the COVID-19 pandemic.

Chang-Chi Weng, Ting-Yi Lin, Yi-Ping Yang, Yu-Jer Hsiao, Tzu-Wei Lin, Wei-Yi Lai, Yi-Ying Lin, Yu-Bai Chou, Tai-Chi Lin, Shih-Hwa Chiou and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of the Chinese Medical Association : JCMA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Measuring hospital care resilience: a systematic literature review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Pooled it
  2. Pooled it
  3. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  4. Review
  5. Article
  6. To do one and to get more: Part I. Diabetes and bone.Journal of the Chinese Medical Association : JCMA · 2022
    Review
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

12 authors at 2 institutions in 1 country.

Chang-Chi WengDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ting-Yi LinSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Yi-Ping YangSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Yu-Jer HsiaoSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Tzu-Wei LinSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Wei-Yi LaiSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Yi-Ying LinSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Yu-Bai ChouDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Tai-Chi LinDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Shih-Hwa ChiouDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
De-Kuang HwangDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Shih-Jen ChenDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Taipei Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruption to the normal operation of the healthcare system. On a worldwide scale, hospitals suspended nonurgent surgeries and outpatient visits to downsize clinical loadings to redistribute manpower to counteract the pandemic's impact. So far, there is no evidence-based guideline defining a clear line between urgent and nonurgent indications of intravitreal injections (IVI). Herein, we aimed to summarize IVI algorithm modifications and discuss the patient prioritization according to medical needs in the hostile environment in the COVID crisis. Assessing current literature, we found that neovascular age-related macular degeneration is considered the utmost priority among conditions that require IVI. Other conditions assigned with a high priority include monocular or quasi-monocular patients (only one eye > 20/40), neovascular glaucoma, and new patients with significant vision loss. Although patients with central retinal vein occlusion and proliferative diabetic retinopathy are not advised to delay treatments, we found no consistent evidence that correlated with a worse outcome. Diabetic macular edema and branch retinal vein occlusion patients undertaking treatment delay should be regularly followed up every 2 to 3 months. Serving as the principle of management behind the algorithm modifications, the reduction of both patient visit and IVI therapy counts should be reckoned together with the risk of permanent visual loss and COVID infection.

Indexed as

SARS-CoV-2AlgorithmsCOVID-19HumansHygieneIntravitreal InjectionsPatient Safety

Identifiers

PMID34292208
PMCPMC12966171
OpenAlexW3186452558

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.