Evidence map›Paper›PMID 34773366›Full record

SynthesisAmerican journal of medical genetics. Part A2022

Ocular findings in 22q11.2 deletion syndrome: A systematic literature review and results of a Dutch multicenter study.

Emma N M M von Scheibler, Emy S van der Valk Bouman, Myrthe A Nuijts, Noël J C Bauer, Tos T J M Berendschot, Pit Vermeltfoort, Levinus A Bok, Agnies M van Eeghen, Michiel L Houben, Thérèse A M J van Amelsvoort and 2 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in American journal of medical genetics. Part A, 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
0.9field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. 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

12 authors at 6 institutions in 2 countries.

Emma N M M von ScheiblerAdvisium, 's Heeren Loo Zorggroep, Amersfoort, The Netherlands.ORCID 0000-0001-8698-946X
Emy S van der Valk BoumanDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-7807-4390
Myrthe A NuijtsDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-6362-0122
Noël J C BauerUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0003-0044-4405
Tos T J M BerendschotUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0002-8101-939X
Pit VermeltfoortDepartment of Ophthalmology, Máxima Medical Center, Veldhoven, The Netherlands.ORCID 0000-0001-8127-7930
Levinus A BokDepartment of Pediatrics, Máxima Medical Center, Veldhoven, The Netherlands.ORCID 0000-0002-8125-3389
Agnies M van EeghenAdvisium, 's Heeren Loo Zorggroep, Amersfoort, The Netherlands.ORCID 0000-0001-8149-8645
Michiel L HoubenDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Thérèse A M J van AmelsvoortDepartment of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-1135-5133
Erik BootAdvisium, 's Heeren Loo Zorggroep, Amersfoort, The Netherlands.ORCID 0000-0002-0593-1539
Michelle B van Egmond-EbbelingDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLMaastricht University · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NLErasmus MC · NLUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 22q11.2 deletion syndrome (22q11.2DS) is a multisystem disorder with an estimated prevalence of 1:3000 live births. Manifestations show a marked variability in expression and include speech- and language delay, intellectual disability, and neuropsychiatric disorders. We aim to provide an overview of ocular findings in 22q11.2DS in order to optimize recommendations for ophthalmic screening. We combined results from a systematic literature review with results from a multicenter cross-sectional study of patients with 22q11.2DS who were assessed by an ophthalmologist. Our systematic literature search yielded four articles, describing 270 patients. We included 132 patients in our cross-sectional study (median age 8.9 [range 0-56] years). Most reported ocular findings were retinal vascular tortuosity (32%-78%), posterior embryotoxon (22%-50%), eye lid hooding (20%-67%), strabismus (12%-36%), amblyopia (2%-11%), ptosis (4%-6%), and refractive errors, of which hyperopia (6%-48%) and astigmatism (3%-23%) were most common. Visual acuity was (near) normal in most patients (91%-94%). Refractive errors, strabismus, and amblyopia are treatable conditions that are frequently present in patients with 22q11.2DS and should be corrected at an early stage. Therefore, in 22q11.2DS, we recommend ophthalmic and orthoptic screening at the age of 3 years or at diagnosis, and a low-threshold referral in adults.

Indexed as

DiGeorge SyndromeEye AbnormalitiesIntellectual DisabilityAdolescentAdultChildChild, PreschoolCross-Sectional StudiesHumansInfantInfant, NewbornLanguageMiddle AgedMulticenter Studies as TopicYoung Adult22q11.2 deletion syndromeCNVcross-sectional studyophthalmologysystematic review

Identifiers

PMID34773366
PMCPMC9298823
OpenAlexW3214080543

What OpenQuestion holds

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LicenceCC BY
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.