Evidence map›Paper›PMID 34855775›Full record

ArticlePloS one2021

The role of OCT- angiography in predicting anatomical and functional recovery after endoscopic endonasal pituitary surgery: A 1-year longitudinal study.

G Cennamo, D Solari, D Montorio, M R Scala, L D'Andrea, F Tranfa, L M Cavallo

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

G CennamoPublic Health Department, Università degli Studi di Napoli "Federico II", Naples, Italy.
D SolariDivision of Neurosurgery, Department of Neurosciences, Reproductive Sciences and Odontostomatological Sciences, Università degli Studi di Napoli "Federico II", Naples, Italy.ORCID 0000-0003-1535-8737
D MontorioDepartment of Neurosciences, Reproductive Sciences and Dentistry, Eye Clinic, University of Naples "Federico II", Naples, Italy.
M R ScalaDivision of Neurosurgery, Department of Neurosciences, Reproductive Sciences and Odontostomatological Sciences, Università degli Studi di Napoli "Federico II", Naples, Italy.
L D'AndreaDepartment of Neurosciences, Reproductive Sciences and Dentistry, Eye Clinic, University of Naples "Federico II", Naples, Italy.
F TranfaDepartment of Neurosciences, Reproductive Sciences and Dentistry, Eye Clinic, University of Naples "Federico II", Naples, Italy.
L M CavalloDivision of Neurosurgery, Department of Neurosciences, Reproductive Sciences and Odontostomatological Sciences, Università degli Studi di Napoli "Federico II", Naples, Italy.
University of Naples Federico II · ITPublic Health Department · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to investigate the changes in structural spectral-domain optical coherence tomography (SD-OCT), OCT Angiography (OCTA) parameters, and visual acuity, 1 year after endoscopic endonasal approach for the removal of an intra-suprasellar pituitary adenoma compressing optic chiasm and compare outcomes with 48 hours postoperative data.

methodsSixteen eyes of eight patients (4 males, 4 females, mean age 52 ± 11 years) were enrolled in this prospective study. The primary outcome was to evaluate the changes over time before and after surgery, analyzing the Best Corrected Visual Acuity (BCVA), Ganglion Cell Complex (GCC), Retinal Nerve Fiber Layer (RNFL) thicknesses, the retinal vessel density (VD) of Superficial Capillary Plexus (SCP), Deep Capillary Plexus (DCP), Radial Peripapillary Capillary (RPC) and the Foveal Avascular Zone (FAZ). The secondary outcome was to identify potential biomarkers that could predict visual acuity changes after 1-year follow-up.

resultsWhen comparing SD-OCT and OCTA measurements obtained after 1 year with those observed 48 hours after surgery, GCC and RNFL were significantly improved. After a significant reduction at 48 hours, GCC thickness showed a significant increase at 1 year after surgery (p = 0.007), while a significant restoration of RNFL thickness was found at 1 year (p = 0.005), as well as the VD of SCP, DCP, and RPC values. FAZ area did not change over time. BCVA significantly improved at each time after surgery (p = 0.037, p = 0.013). A statistically significant correlation was found between the preoperative BCVA, VD of SCP, DCP, RPC, and the postoperative BCVA at 1 year (p = 0.017, p = 0.029, p = 0.031, p = 0.023).

conclusionSD-OCT and OCTA provide helpful information to identify the retinal structural and vascular improvements 1 year after surgery. OCTA parameters could serve as potential predictive markers for visual acuity recovery at long-term follow-up.

Indexed as

AdenomaAdultFemaleFluorescein AngiographyHumansLongitudinal StudiesMaleMiddle AgedNatural Orifice Endoscopic SurgeryNerve FibersPituitary NeoplasmsPreoperative CareProspective StudiesRetinaTomography, Optical CoherenceTreatment Outcome

Identifiers

PMID34855775
PMCPMC8638874
OpenAlexW3215905354

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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.