Evidence map›Paper›PMID 34628544›Full record

ArticleInternational ophthalmology2022

Five-year outcomes after intravitreal bevacizumab of treatment-naive eyes with macular edema secondary to CRVO in routine clinical practice: Results of the Pan-American Collaborative Retina Study (PACORES) group.

Lihteh Wu, Dhariana Acon, Maria H Berrocal, Roberto Gallego-Pinazo, Rosa Dolz-Marco, Jose A Roca, Mauricio Maia, Sergio Rojas, Marcelo Zas, J F Arevalo and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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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 8 countries.

Lihteh WuAsociados de Macula Vitreo y Retina de Costa Rica, Primer Piso, Torre Mercedes, Paseo Colón, San José, Costa Rica. LW65@cornell.edu.ORCID http://orcid.org/0000-0002-3387-7058
Dhariana AconAsociados de Macula Vitreo y Retina de Costa Rica, Primer Piso, Torre Mercedes, Paseo Colón, San José, Costa Rica.
Maria H BerrocalDepartment of Ophthalmology, University of Puerto Rico, San Juan, Puerto Rico.
Roberto Gallego-PinazoOftalvist Clinic, Valencia, Spain.
Rosa Dolz-MarcoOftalvist Clinic, Valencia, Spain.
Jose A RocaOftalmologos Contreras, Lima, Peru.
Mauricio MaiaDepartment of Ophthalmology, Vision Institute, Federal University of Sao Paulo, Sao Paulo, Brazil.
Sergio RojasFundación Hospital Nuestra Señora de la Luz, Mexico City, Mexico.
Marcelo ZasDepartment of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
J F ArevaloWilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
Jay ChhablaniL.V.Prasad Eye Institute, Hyderabad, India.
IVI Valencia Clinic · ESCentro Peruano de Estudios Sociales · PECornell University · USInstituto da Visão · BRJohns Hopkins University · USMinisterio de Agricultura y Ganadería de Costa Rica · CRUniversidad de Buenos Aires · ARUniversity of Pittsburgh · USUniversity of Puerto Rico System · PR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to report the 5-year outcomes of treatment-naive eyes with cystoid macular edema secondary to central retinal vein occlusion treated with intravitreal bevacizumab in routine clinical practice.

methodsWe conducted multicenter retrospective non-comparative case series of 102 eyes. The main outcome measured was the change in best-corrected visual acuity (BCVA) at 5 years. Secondary outcomes included the number of injections and the change in CMT at 5 years.

resultsAt 5 years, the mean BCVA improved from 1.22 ± 0.58 (Snellen 20/428) at baseline to 1.00 ± 0.68 logMAR (Snellen 20/200; p < 0.0001). At 5 years, 48 (47%) eyes had a gain of ≥ 3 lines, 41 (40.2%) eyes remained within 3 lines and 13 (12.7%) eyes had a loss of ≥ 3 lines of BCVA. The CMT improved from 740 ± 243 to 322 ± 179 µm (p < 0.0001). At 5 years, 59 (57.8%) eyes had a completely dry SD-OCT. Patients received a total of 10.6 ± 6.1 (range 6-27) injections. Baseline BCVA (p < 0.0001) and the duration of symptoms prior to initial anti-VEGF injection (p = 0.0274) were the only predictive factors for BCVA at 5 years.

conclusionsAfter 5 years with an average of 10.6 injections, there was a mean gain of 0.22 logMAR. In addition, more eyes achieved a BCVA of ≥ 20/40, gained ≥ 3 lines and less patients had a BCVA ≤ 20/200. Eyes with a better baseline BCVA and a shorter duration of symptoms were more likely to achieve better BCVA at 5 years.

Indexed as

Macular EdemaRetinal Vein OcclusionAngiogenesis InhibitorsBevacizumabHumansIntravitreal InjectionsRetinaRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AAngiogenesis InhibitorsBevacizumabVascular Endothelial Growth Factor AAfliberceptBevacizumabCentral retinal vein occlusionMacular edemaRanibizumabReal worldRoutine clinical practiceVEGF

Identifiers

PMID34628544
OpenAlexW3206145898

What OpenQuestion holds

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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.