Evidence map›Paper›PMID 36864536›Full record

ArticleInternational journal of retina and vitreous2023

Microperimetric analysis of diabetic macular edema after navigated direct photocoagulation with short-pulse laser for microaneurysms.

Yasuko Ikegami, Tomoyasu Shiraya, Fumiyuki Araki, Takashi Ueta, Taku Toyama, Tomohiko Yanagita, Jiro Numaga, Nobuyuki Shoji, Satoshi Kato

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2023. 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
0.3field-weighted citation impact, top 49% 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, 1 citations in OpenAlex.

  1. Review
  2. Review
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

9 authors at 3 institutions in 1 country.

Yasuko IkegamiDepartment of Ophthalmology, University of Kitasato School of Medicine, 1-15-1 Kitasato, Minami-Ku, Sagamihara, Kanagawa, Japan. yasuko_ikegami@tmghig.jp.ORCID http://orcid.org/0000-0002-1704-585X
Tomoyasu ShirayaDepartment of Ophthalmology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Fumiyuki ArakiDepartment of Ophthalmology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Takashi UetaDepartment of Ophthalmology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Taku ToyamaDepartment of Ophthalmology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Tomohiko YanagitaDepartment of Ophthalmology, University of Kitasato School of Medicine, 1-15-1 Kitasato, Minami-Ku, Sagamihara, Kanagawa, Japan.
Jiro NumagaDepartment of Ophthalmology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan.
Nobuyuki ShojiDepartment of Ophthalmology, University of Kitasato School of Medicine, 1-15-1 Kitasato, Minami-Ku, Sagamihara, Kanagawa, Japan.
Satoshi KatoDepartment of Ophthalmology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
The University of Tokyo · JPKitasato University · JPTokyo Metropolitan Geriatric Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFocal laser photocoagulation is an important treatment option for diabetic macular edema (DME). This study aimed to examine the retinal sensitivity (RS) and morphological changes at the coagulated site after direct photocoagulation of microaneurysms (MAs) in patients with DME using a navigated laser photocoagulator with a short-pulse duration of 30 ms.

methodsImages of early-phase fluorescein angiography were merged with images from the optical coherence tomography (OCT) map with 9 Early Treatment Diabetic Retinopathy Study grid circles, and MAs inside the edema area were selected for direct photocoagulation. The best-corrected visual acuity (BCVA), parameters of the OCT map including central retinal thickness and retinal thickness in edema range, central RS, and RS in the edema area were assessed at 1 and 3 months after the laser treatment. The RS points that overlapped with the laser spots were identified by merging the Navilas' digital treatment reports and the microperimetry images.

resultsSeventeen eyes from 14 patients were studied. The mean retinal thickness in the edema range decreased at 3 months compared with pretreatment (P = 0.042), but the BCVA, central retinal thickness, central RS, and RS in the edema area remained unchanged. Overall, 32 of 400 sensitivity points overlapped with the laser-coagulated spots. The mean RS at these spots were 22.4 ± 5.3 dB at 1 month and 22.5 ± 4.8 dB at 3 months, with no significant change from the baseline of 22.7 ± 3.5 dB.

conclusionsRetinal thickness improved in the coagulated edema area without a decrease in RS after direct photocoagulation of MAs with a short 30-ms pulse using Navilas. This promising therapeutic strategy for DME is effective and minimally invasive.

Indexed as

Diabetic macula edemaFocal laser photocoagulationMicroaneurysmsMicroperimetryNavigated laser

Identifiers

PMID36864536
PMCPMC9979500
OpenAlexW4322770837

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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.