Evidence map›Paper›PMID 34373615›Full record

Observational studyEye (London, England)2022

Anti-tubercular therapy alone for treatment of isolated tubercular retinal vasculitis.

Anup Kelgaonkar, Vishal Govindhari, Ashish Khalsa, Soumyava Basu

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Eye (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Anup KelgaonkarL V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, India.ORCID 0000-0002-3983-4200
Vishal GovindhariL V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, India.
Ashish KhalsaL V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, India.
Soumyava BasuL V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, India. basu@lvpei.org.ORCID 0000-0002-6513-8786
L V Prasad Eye Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the time to resolution of perivascular infiltrates in tubercular retinal vasculitis (TRV) between anti-tubercular therapy (ATT) alone, and in combination with systemic corticosteroids.

methodsObservational retrospective cohort study in a tertiary eye centre in eastern India. Patients with TRV who were treated with anti-tubercular therapy (ATT) alone (Group A), or in combination with systemic corticosteroids (Group B) were included in the study. Eyes with additional inflammatory signs (cystoid macular oedema, vitritis ≥2+, optic disc oedema) were excluded. Resolution was defined as complete disappearance of perivascular infiltrates on seven-field fundus photographs. Descriptive statistics were used for demographic data. A linear mixed effects model was applied to adjust for intereye correlations, in patients with bilateral disease. The primary outcome measure was time to resolution of perivascular infiltrates. Secondary outcome measure was need for laser or surgical intervention for management of complications of TRV.

resultsFifty eyes of 39 patients (Group A 21/18 and Group B 29/21) were included. Both groups had similar demographics and severity of vasculitis. All patients had complete resolution of TRV. On adjusting for intereye correlation, the mean difference in time to resolution between the two groups (Group A, 3.24 [95% CI 2.69-3.77] months, and Group B, 4.76 [95% CI 3.52-5.99] months) was not statistically significant (0.96 weeks [-0.52 to 2.45] p = 0.21). Vaso-occlusive complications and healing patterns were similar in both groups.

conclusionsATT alone, may be sufficient for resolution of perivascular infiltrates, in TRV without additional inflammatory signs.

Indexed as

Macular EdemaRetinal VasculitisAdrenal Cortex HormonesAntitubercular AgentsHumansRetrospective StudiesAdrenal Cortex HormonesAntitubercular Agents

Identifiers

PMID34373615
PMCPMC9391439
OpenAlexW3187530498

What OpenQuestion holds

Textmetadata
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.