Evidence map›Paper›PMID 37041488›Full record

Trial reportBMC ophthalmology2023

Efficacy and safety of laser peripheral iridoplasty with different energy levels and locations in the treatment of primary angle closure disease assessed by swept-source anterior segment optical coherence tomography.

Jiayin Qin, Yan Zhang, Chengxia Zhang, Yaqian Niu, Fei Yang, Xijuan Wang, Xiaochun Li, Yang Yu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 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
0.8field-weighted citation impact, top 30% 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, 3 citations in OpenAlex.

  1. Article
  2. 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 1 institution in 1 country.

Jiayin QinDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China. qinjiayin@pkuih.edu.cn.
Yan ZhangDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Chengxia ZhangDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Yaqian NiuDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Fei YangDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Xijuan WangDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Xiaochun LiDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Yang YuDepartment of Ophthalmology, Peking University International Hospital, Life Park Road No. 1, Life Science Park of Zhong Guancun, Changping District, Beijing, 102206, China.
Peking University · CN

Funding

Internal Medicine Research Fund of Peking University International Hospital YN2019QN12
6 · The paper itself

Abstract

backgroundTo explore the efficacy and safety of laser peripheral iridoplasty (LPIp) with different energy levels and locations in the treatment of primary angle closure disease (PACD) assessed by swept-source anterior segment optical coherence tomography (AS-OCT).

methodsWe enrolled patients with PACD following best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber gonioscopy, ultrasound biomicroscopy(UBM), optic disc OCT, and visual field examinations. After Pentacam and AS-OCT measurements, the patients were randomly divided into four treatment groups for LPIp with two different energy levels (high vs. low energy) and two locations (far from the periphery vs. near the periphery) and combined with laser peripheral iridotomy. BCVA, IOP, pupil diameter, central anterior chamber depth, anterior chamber volume, anterior opening distance (AOD)500, AOD750, trabecular iris angle (TIA)500, and TIA750 in four quadrants before and after laser treatment were compared.

resultsWe followed up 32 patients (64 eyes; average age, 61.80 ± 9.79 years; 8 patients/16 eyes per group) for up to 2 years. The IOP of all enrolled patients was decreased after surgery compared to that before (t = 3.297, P = 0.002), the volume of the anterior chamber was increased (t=-2.047, P = 0.047), and AOD500, AOD750, TIA500, and TIA750 were increased (all P < 0.05). Within-group comparisons showed that BCVA in the low-energy/far-periphery group was improved after surgery (P < 0.05). After surgery, the IOP was decreased in the two high-energy groups, whereas the volume of the anterior chamber, AOD500, AOD750, TIA500, and TIA750 were increased in all groups (all P < 0.05). However, when comparing every two groups, the high-energy/far-periphery group showed a stronger effect on pupil dilation than the low-energy/near-periphery group (P = 0.045). The anterior chamber volume in the high-energy/near-periphery group was larger than that in the high-energy/far-periphery group (P = 0.038). The change in TIA500 was for 6 points smaller in the low-energy/near-periphery group than in the low-energy/far-periphery group (P = 0.038). Other parameters showed no significant group differences.

conclusionLPIp combined with iridotomy can effectively reduce IOP, increase anterior chamber volume, increase chamber angle opening distance, and widen the trabecular iris angle. Intraoperatively, high-energy laser spots positioned one spot diameter from the scleral spur can obtain the best effect and safety. Swept-source AS-OCT can safely and effectively quantify the anterior chamber angle.

Indexed as

Glaucoma, Angle-ClosureTomography, Optical CoherenceAgedHumansIridectomyIrisLasersMiddle AgedEfficacyLaser energyLaser locationLaser peripheral iridoplastySafetySwept-source AS-OCT

Identifiers

PMID37041488
PMCPMC10088107
OpenAlexW4364379421

What OpenQuestion holds

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LicenceCC BY
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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.