Evidence map›Paper›PMID 34725467›Full record

ArticleEye (London, England)2022

Familial Mediterranean fever associated frosted branch angiitis, retinal vasculitis and vascular occlusion.

Hana A Mansour, Pinar Ç Ozdal, Sibel Kadayifcilar, Ilknur Tugal-Tutkun, Hilal Eser-Ozturk, F Nilüfer Yalçındağ, Harry Petrushkin, Errol W Chan, Soukaina Belfaiza, Remzi Karadag and 3 more

Open access · bronzeAbstract read
In one paragraph

Article 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 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
0.4field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Acute idiopathic frosted branch angiitis.Eye (London, England) · 2025
    Article
  3. Article
  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

13 authors at 13 institutions in 7 countries.

Hana A MansourDepartment of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Pinar Ç OzdalUveitis and Behçet Disease Service, University of Health Sciences, Department of Ophthalmology, Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.
Sibel KadayifcilarDepartment of Ophthalmology, Hacettepe University, Ankara, Turkey.
Ilknur Tugal-TutkunDepartment of Ophthalmology, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-4020-453X
Hilal Eser-OzturkDepartment of Ophthalmology, Ondokuz Mayıs University, Samsun, Turkey.ORCID 0000-0002-0050-7894
F Nilüfer YalçındağDepartment of Ophthalmology, University of Ankara, Ankara, Turkey.
Harry PetrushkinUveitis and Scleritis Service, Moorfields Eye Hospital, London, UK.ORCID 0000-0002-4662-2994
Errol W ChanDepartment of Ophthalmology and Visual Sciences, McGill University, Montreal, Canada.
Soukaina BelfaizaDepartment of Ophthalmology, Mohammed V Military Hospital, Rabat, Morocco.
Remzi KaradagRK Eye, Aesthetic and Health Services, Kadikoy, Istanbul, Turkey.ORCID 0000-0002-7745-0726
Sirel Gür GüngörDepartment of Ophthalmology, Başkent University, Ankara, Turkey.
Maurizio Battaglia ParodiDepartment of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.
Ahmad M MansourDepartment of Ophthalmology, American University of Beirut, Beirut, Lebanon. ammansourmd@gmail.com.ORCID 0000-0001-8430-2214
Acıbadem Kadıköy Hospital · TRAmerican University of Beirut · LBAnkara University · TRBaşkent University · TRGreat Ormond Street Hospital · GBHacettepe University · TRIRCCS Ospedale San Raffaele · ITIstanbul University · TRMohammed V University · MANational University Health System · SGOndokuz Mayıs University · TRRafik Hariri University Hospital · LBSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the entity of retinal vasculitis, including frosted branch angiitis (FBA), or retina vascular occlusion in patients with familial Mediterranean fever (FMF).

methodsRetrospective collaborative case series using invitation by email to uveitis specialists around the Mediterranean basin. This series was combined with a literature review. Exclusion criteria included infectious diseases, Behçet's disease or other autoimmune diseases.

resultsA total of 16 patients (21 eyes) had FMF and retinal vasculitis (FBA 11 patients, mild retinal vasculitis 5 patients). The mean age at onset of vasculitis was 29.5 ± 13.4 (range 9-62) with a female to male ratio of 9 to 7. In 19 eyes treated with various forms of corticosteroid and/or immunosuppression, the mean initial spectacle-corrected visual acuity improved from 6/194 to 6/10.5 at the last mean follow-up of 29.0 ± 34.9 months (p < 0.001). The most common FEVR mutations were M680I and M694V. In addition, retinal vascular occlusions included one case of central retinal artery occlusion and one case of branch retinal artery occlusion.

conclusionFBA and milder forms of retinal vasculitis are associated with FMF. Therapy involves an increase in colchicine dosage in early cases, a long period of oral corticosteroid, intravitreal dexamethasone implant or periocular corticosteroid in select cases, and combination therapy with systemic immunosuppression in severe cases. FMF needs to be included in the differential diagnosis of retinal vasculitis.

Indexed as

Familial Mediterranean FeverRetinal VasculitisAdolescentAdultColchicineDexamethasoneFemaleFluorescein AngiographyHumansMaleRetrospective StudiesYoung AdultColchicineDexamethasone

Identifiers

PMID34725467
PMCPMC9581995
OpenAlexW3209707816

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.