Evidence map›Paper›PMID 34671489›Full record

ArticleJournal of ophthalmology2021

Risk of Posterior Capsular Rupture during Phacoemulsification in Patients with the History of Anti-VEGF Intravitreal Injections: Results from the Pan-American Collaborative Retina Study (PACORES) Group.

Raul Velez-Montoya, Idaira Sanchez-Santos, Mauricio Galvan-Chavez, Lihteh Wu, J Fernando Arevalo, María H Berrocal, Arturo A Alezzandrini, Marta S Figueroa, Roberto Gallego-Pinazo, Rosa Dolz-Marco and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. 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

12 authors at 7 institutions in 6 countries.

Raul Velez-MontoyaRetina Department, Asociación para Evitar le Ceguera en México IAP, México City 04030, Mexico.ORCID https://orcid.org/0000-0002-6457-4578
Idaira Sanchez-SantosRetina Department, Asociación para Evitar le Ceguera en México IAP, México City 04030, Mexico.
Mauricio Galvan-ChavezRetina Department, Asociación para Evitar le Ceguera en México IAP, México City 04030, Mexico.
Lihteh WuAsociados de Macula, Vitreo y Retina de Costa Rica, San Jose City 10102, Costa Rica.ORCID https://orcid.org/0000-0002-3387-7058
J Fernando ArevaloRetina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.ORCID https://orcid.org/0000-0001-6104-5737
María H BerrocalDepartment of Ophthalmology, University of Puerto Rico, San Juan, PR 00907, USA.ORCID https://orcid.org/0000-0002-1045-7245
Arturo A AlezzandriniOphthalmology Department, University of Buenos Aires, School of Medicine, Buenos Aires C1121, Argentina.
Marta S FigueroaRetina and Vitreous Department, Hospital Universitario Ramón y Cajal, Madrid 28034, Spain.
Roberto Gallego-PinazoOphthalmology Department, Hospital Universitario y Politécnico La Fe, Valencia 46026, Spain.
Rosa Dolz-MarcoOphthalmology Department, Hospital Universitario y Politécnico La Fe, Valencia 46026, Spain.ORCID https://orcid.org/0000-0002-2963-2541
Clara Martinez-RubioOphthalmology Department, Hospital Universitario y Politécnico La Fe, Valencia 46026, Spain.ORCID https://orcid.org/0000-0001-8838-7497
Roberto Gonzalez-SalinasAnterior Segment Department, Asociación para Evitar le Ceguera en México IAP, DF 04030, México City, Mexico.ORCID https://orcid.org/0000-0001-6654-5191
Asociacion Para Evitar la Ceguera en México Hospital Dr. Luis Sánchez Bulnes · MXHospital Universitari i Politècnic La Fe · ESHospital Universitario Ramón y Cajal · ESJohns Hopkins University · USMinisterio de Agricultura y Ganadería de Costa Rica · CRUniversidad de Buenos Aires · ARUniversity of Puerto Rico System · PR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the risk for capsular rupture during routine phacoemulsification in patients with a history of anti-VEGF injections and other possible risk modifiers such as treatment patterns, type of anti-VEGF agent, and experience of the surgeon, among others.

methodsThis study reviewed the medical records of 11,129 patients from 7 different hospitals in 5 countries. The study included 939 patients that underwent routine phacoemulsification and had a history of anti-VEGF therapy. We excluded patients with known risk factors for capsular rupture, as well as patients with a history of other retinal procedures. The study extracted data regarding general demographics, the number of previous injections, type of anti-VEGF agent, details of cataract surgery, and anti-VEGF treatment patterns.

resultsOverall prevalence of posterior capsular rupture: 7.45% (95% CI: 5.9-9.32%). The mean number of injections per patient was 3.37 ± 2.8. More than 50% of the patients received their last anti-VEGF injection within three months before cataract surgery. The complication rate during intravitreal injections was 1.07%. In the univariate analysis, the experience of the cataract surgeon (inexperience surgeons; OR: 2.93) and the history of prior anti-VEGF therapy (OR: 1.77) were significant risk indicators for PCR (

conclusionThe risk for capsular rupture is higher in patients with a history of intravitreal anti-VEGF injections.

Identifiers

PMID34671489
PMCPMC8523249
OpenAlexW3205976978

What OpenQuestion holds

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LicenceCC BY
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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.