Evidence map›Paper›PMID 36538991›Full record

ArticleOphthalmology2023

Navigating Coronavirus Disease 2019 Vaccination and Uveitis: Identifying the Rates and Risk of Recurrent Uveitis after Coronavirus Disease Vaccination.

Charlotte A Jordan, Stephanie Townend, Natalie Allen, Joanne Sims, Charles N J McGhee, Rachael L Niederer

Open access · bronzeAbstract read
In one paragraph

Article in Ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
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  6. COVID-19 vaccination and corneal allograft rejection- a review.Frontiers in cellular and infection microbiology · 2023
    Review
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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

6 authors at 2 institutions in 1 country.

Charlotte A JordanDepartment of Ophthalmology, University of Auckland, Auckland, New Zealand.
Stephanie TownendDepartment of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
Natalie AllenDepartment of Ophthalmology, University of Auckland, Auckland, New Zealand.
Joanne SimsDepartment of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
Charles N J McGheeDepartment of Ophthalmology, University of Auckland, Auckland, New Zealand; Department of Ophthalmology, Auckland District Health Board, Auckland, New Zealand.
Rachael L NiedererDepartment of Ophthalmology, University of Auckland, Auckland, New Zealand; Department of Ophthalmology, Auckland District Health Board, Auckland, New Zealand. Electronic address: rachaeln@adhb.govt.nz.
University of Auckland · NZAuckland District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify rates of uveitis reactivation both before and after the coronavirus disease (COVID) 2019 vaccine in subjects with a previous diagnosis of uveitis.

designRetrospective study.

participantsSubjects were identified from the Inflammatory Eye Disease Registry at Auckland District Health Board diagnosed with uveitis between January 1, 2010, and December 31, 2020.

methodsDate of COVID vaccination was determined from the patient clinical record. Rate of flare was calculated for 3 months before vaccination and 3 months after each vaccination.

main outcome measureUveitis flare was defined as the presence of new uveitis activity or increased activity that required a change in uveitis treatment.

resultsA total of 4184 eyes of 3008 patients were included in the study with a total of 8474 vaccinations given during the study period. Median age was 54.8 years, and 1474 (49.0%) were female. Noninfectious etiology was most common, occurring in 2296 patients (76.3%) and infectious etiology occurring in 712 patients (23.7%). Rate of uveitis flare was 12.3 per 1000 patient-months at baseline, 20.7 after the first dose, 15.0 after the second dose, 12.8 after the third dose, and 23.9 after the fourth dose. The median period of quiescence before flare was 3.9 years. An increase in uveitis flare was seen in both infectious uveitis (baseline 13.1 compared with 20.2 after first dose, 154% increase) and noninfectious uveitis (baseline 12.4 compared with 20.9 after first dose, 169% increase). Risk factors for uveitis flare were identified to be recurrent uveitis, chronic uveitis, shorter period of quiescence, and first dose of vaccine. Median time to uveitis flare was 0.53 months after the first vaccination, 1.74 months after the second vaccination, and 1.35 months after the third vaccination.

conclusionsThe current study demonstrates an increased risk of uveitis flare after the first dose of COVID vaccination. This risk was highest in those with previous recurrences, chronic uveitis, and shorter period of quiescence. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Indexed as

CoronavirusCOVID-19UveitisFemaleHumansMaleMiddle AgedRetrospective StudiesVaccinationCOVID-19UveitisVaccination

Identifiers

PMID36538991
PMCPMC9758064
OpenAlexW4312113145

What OpenQuestion holds

Textmetadata
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.