Evidence map›Paper›PMID 36384489›Full record

ArticleBMC ophthalmology2022

Re-vitrectomy for recurrent retinal detachment in post-vitrectomy eyes of rhegmatogenous retinal detachment.

Jun-Xing Bai, Wei-Yu Zheng, Xiao-Qing Zhu, Xiao-Yan Peng

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

4 authors at 2 institutions in 1 country.

Jun-Xing BaiBeijing Ophthalmolgy and Visual Science Key Laboratory, Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, No.1 Dongjiaomin Alley, Dongcheng District, Beijing, 100730, People's Republic of China.
Wei-Yu ZhengDepartment of Ophthalmology, Beijing Meiermu Hospital, No.65 Fuxing Road, Haidian District, Beijing, 100036, People's Republic of China.
Xiao-Qing ZhuBeijing Ophthalmolgy and Visual Science Key Laboratory, Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, No.1 Dongjiaomin Alley, Dongcheng District, Beijing, 100730, People's Republic of China. zhuxiaoqing2022@mail.ccmu.edu.cn.
Xiao-Yan PengBeijing Ophthalmolgy and Visual Science Key Laboratory, Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, No.1 Dongjiaomin Alley, Dongcheng District, Beijing, 100730, People's Republic of China. 74000041@ccmu.edu.cn.
Capital Medical University · CNBeijing Tongren Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrent retinal detachment (Re-RD) usually affects the prognosis of surgery for rhegmatogenous retinal detachment (RRD). Previous clinical studies of Re-RD were not specific. This study aimed to analyze the clinical characteristics of Re-RD in post-vitrectomy eyes with RRD and surgical outcomes after revitrectomy without combining it with retinectomy or scleral buckling.

methodsThis is a retrospective case series analyzed the ocular characteristics of 20 recurrent and contralateral eyes, evaluated the significance of the associations between variables before reoperation and the final best-corrected visual acuity (BCVA), and calculated the outcome of revitrectomy.

resultsPatients with phakic eyes, those undergoing only one surgery, and those with more than one break had better final BCVA. The final BCVA was negatively correlated with the axial length and positively correlated with the preoperative BCVA. Among the 12 eyes with no break detected before surgery, 11 (92%) were found to have a small crevice-like break beside the pigment scar of a large number of original laser spots. The single-operation complete retinal reattachment rate was 75%, the complete retinal reattachment rate was 80%, and the final incomplete retinal reattachment rate was 90%. The BCVA improved from 1.2 ± 0.6LogMAR (0.06 ± 0.25) before surgery to 0.8 ± 0.7LogMAR (0.15 ± 0.2) at the last follow-up. The BCVA of 16 patients with complete retinal reattachment improved from 1.0 ± 0.5LogMAR (0.1 ± 0.3) to 0.6 ± 0.4LogMAR (0.25 ± 0.4). In the contralateral eyes, 15% already had vision-damaging disease, and the incidence of eyesight-threating lesions was 5.9% during follow-up.

conclusionsRevitrectomy without retinectomy or scleral buckling can effectively treat Re-RD in post-vitrectomy eyes. In Re-RD patients with no definite retinal break detected preoperatively, the retinal hole usually shows small crevice-like changes alongside a large number of original laser pigment scars.

Indexed as

Retinal DetachmentHumansRetrospective StudiesScleral BucklingVision DisordersVisual AcuityVitrectomyContralateral eyePars plana vitrectomyPost-vitrectomy eyeRecurrent retinal detachmentRe-vitrectomy

Identifiers

PMID36384489
PMCPMC9670523
OpenAlexW4309467184

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.