Evidence map›Paper›PMID 35043004›Full record

ArticleEye (London, England)2023

Vitrectomized vs non-vitrectomized eyes in DEX implant treatment for DMO-Is there any difference? the VITDEX study.

Matias Iglicki, Catharina Busch, Paolo Lanzetta, Valentina Sarao, Daniele Veritti, Nicolò Rassu, Marco Lupidi, Zafer Cebeci, Samantha Fraser-Bell, Carolina Bernal-Morales and 9 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 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

19 authors at 12 institutions in 9 countries.

Matias Iglicki *Private Retina Office, University of Buenos Aires, Buenos Aires, Argentina. matiasiglicki@gmail.com.
Catharina Busch *Department of Ophthalmology, University of Leipzig, Leipzig, Germany.ORCID 0000-0002-6267-4663
Paolo LanzettaDepartment of Medicine-Ophthalmology, University of Udine, Piazzale S. Maria della Misericordia, 33100, Udine, Italy.
Valentina SaraoDepartment of Medicine-Ophthalmology, University of Udine, Piazzale S. Maria della Misericordia, 33100, Udine, Italy.
Daniele VerittiDepartment of Medicine-Ophthalmology, University of Udine, Piazzale S. Maria della Misericordia, 33100, Udine, Italy.
Nicolò RassuDepartment of Medicine-Ophthalmology, University of Udine, Piazzale S. Maria della Misericordia, 33100, Udine, Italy.ORCID 0000-0001-9341-2933
Marco LupidiDepartment of Medicine and Surgery, Section of Ophthalmology, University of Perugia, S. Maria della Misericordia Hospital, 06156, Perugia, Italy.
Zafer CebeciDepartment of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Samantha Fraser-BellDepartment of Ophthalmology, Save Sight Institute, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0001-5646-9359
Carolina Bernal-MoralesHospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0001-5469-3963
Anna Sala-PuigdollersHospital Clínic de Barcelona, Barcelona, Spain.
Javier Zarranz-VenturaHospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0003-2338-8143
Roberto Gallego-PinazoClinic Oftalvist Valencia, Valencia, Spain.
Aniruddha MaitiSusrut Eye Foundation & Research Centre Kolkata, Kolkata, India.
Giuseppe D'Amico RicciDepartment of Ophthalmology, Azienda Ospedaliera Universitaria Sassari, Sassari, Italy.ORCID 0000-0002-9022-4790
Patricia UdaondoUniversity and Polytechnic Hospital La Fe, Valencia, Spain.
Anat LoewensteinDivision of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jay Chhablani *University of Pittsburgh, UPMC Eye Center, Pittsburgh, PA, USA.ORCID 0000-0003-1772-3558
Dinah Zur *Division of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-1147-444X
University of Udine · ITHospital Clínic de Barcelona · ESTel Aviv University · ILAzienda Ospedaliero Universitaria di Sassari · ITHospital Universitari i Politècnic La Fe · ESIstanbul University · TRIVI Valencia Clinic · ESLeipzig University · DEThe University of Sydney · AUUniversidad de Buenos Aires · ARUniversity of Perugia · ITUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to compare visual and anatomical outcome in vitrectomized and non-vitrectomized eyes treated with dexamethasone (DEX) implant due to diabetic macular oedema (DMO).

designMulticenter, retrospective, interventional study.

participants236 eyes from 234 patients with DMO with or without previous vitrectomy performed with follow-up of 12 months.

methodsRecords were reviewed for cases of DMO treated with DEX implant in vitrectomized and not vitrectomized eyes. Best corrected visual acuity (BCVA), central subfoveal thickness (CST), and intraocular pressure (IOP) were recorded at baseline and 12 months after treatment with DEX implants. Correlations between vitreous status and visual and anatomical outcome, as well as safety profile were analysed.

main outcome measuresBCVA and CST over follow-up period. SECONDARY OUTCOMES: cataract rate formation, intraocular pressure increase, number of implants needed.

resultsThe non-vitrectomized group included 130 eyes (55.1%), the vitrectomized group included 106 eyes (44.9%). The groups were well balanced for age and gender (p = 0.540, and p = 0.053, respectively). Both groups showed statistically significant improvement in BCVA and CST (for all groups: p < 0.001). There was no significant difference between the groups in terms of change in vision (p = 0.89) and anatomy (p = 0.65). The mean number of DEX implants given during follow-up was 3.5 in both groups, and there was no significant difference between the groups (p = 0.81).

conclusionWe demonstrated similar anatomical and functional efficacy of DEX implant in non-vitrectomized and vitrectomized eyes. Its efficacy was not influenced by full vitrectomy for diabetic retinopathy complications. Safety profile was well balanced between groups.

Indexed as

Diabetic RetinopathyMacular EdemaDexamethasoneDrug ImplantsGlucocorticoidsHumansIntravitreal InjectionsRetrospective StudiesTreatment OutcomeDexamethasoneDrug ImplantsGlucocorticoids

Identifiers

PMID35043004
PMCPMC9873723
OpenAlexW4205697018

What OpenQuestion holds

Textmetadata
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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.