Evidence map›Paper›PMID 36071724›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2022

Multicenter Effectiveness and Disease Stability Through 3 Years After iStentTrabecular Micro-Bypass with Phacoemulsification in Glaucoma and Ocular Hypertension.

Colin Clement, Frank Howes, Alexandros Ioannidis, Michael Shiu, David Manning, Jed A Lusthaus, Simon E Skalicky, Todd W Goodwin

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Two-Year Post-Market Surveillance of iStentClinical ophthalmology (Auckland, N.Z.) · 2025
    Article
  8. Review
  9. Article
  10. 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

8 authors at 4 institutions in 1 country.

Colin ClementEye Associates, Sydney, NSW, Australia.ORCID 0000-0003-1484-2615
Frank HowesEye & Laser Centre, Gold Coast, QLD, Australia.ORCID 0000-0002-6740-9914
Alexandros IoannidisVision Eye Institute, Melbourne, VIC, Australia.ORCID 0000-0002-6066-1877
Michael ShiuLaser Sight Centre, Melbourne, VIC, Australia.
David ManningHunter Cataract & Eye Centre, Charlestown, NSW, Australia.ORCID 0000-0002-8796-4448
Jed A LusthausGlaucoma Unit, Sydney Eye Hospital, Sydney, NSW, Australia.ORCID 0000-0002-4111-5408
Simon E SkalickyDepartment of Surgery Ophthalmology, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0001-8022-8002
Todd W GoodwinNQ Eye Specialists, Currajong, QLD, Australia.
The University of Sydney · AUCity Eye Centre · AUThe University of Melbourne · AUVision Eye Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate 3-year safety and efficacy of two second-generation trabecular micro-bypass stents. (iStent Materials and Methods: This multicenter retrospective study of iStent Results: A total of 273 eyes underwent surgery and had 36-month follow-up. At 36 months versus preoperative, mean IOP decreased by 15.5% (16.4±4.6 mmHg to 13.9±3.5 mmHg; p<0.001), and 70.3% of eyes achieved IOP of ≤15 mmHg (versus 49.1% preoperatively; p<0.001). The mean medication burden decreased by 68.5% (from 1.51±1.17 to 0.48±0.89 medications; p<0.001); 71.4% of eyes were medication-free (versus 21.6% preoperatively; p<0.001), while 6.2% of eyes were on ≥3 medications (versus 22.3% preoperatively; p<0.001); 96.3% of eyes maintained or reduced medications vs preoperative. Significant IOP and medication reductions occurred across glaucoma subtypes (POAG, PAC, NTG, OHT): 13-22% for IOP (p<0.05 for all) and 42-94% for medication (p<0.05 for all). Favorable safety included few adverse events; stable VF, RNFL, and CCT; and filtering surgery in only 8 eyes (2.9%) over 3 years. Conclusion: In this multicenter cohort from 8 surgeons across Australia, significant IOP and medication reductions were sustained through 3 years after iStent inject implantation with phacoemulsification. Results were favorable across different glaucoma subtypes (including POAG, PAC, NTG, OHT), severities, and surgeons, thereby underscoring the real-world relevance and efficacy of iStent

Indexed as

glaucomaintraocular pressureiStent injectmicroinvasive glaucoma surgeryMIGSmulticentersecond generation

Identifiers

PMID36071724
PMCPMC9444145
OpenAlexW4294084770

What OpenQuestion holds

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LicenceCC BY-NC
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.