Evidence map›Paper›PMID 37222350›Full record

SynthesisRevista da Sociedade Brasileira de Medicina Tropical2023

Clinical outcomes of intravitreal treatment for ocular toxoplasmosis: systematic review and meta-analysis.

Lutiana Amaral de Melo, Mayara Rodrigues Brandão de Paiva, Gabriella Maria Fernandes-Cunha, Armando Silva-Cunha, Marcos Paulo Gomes Mol, Sílvia Ligorio Fialho

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Revista da Sociedade Brasileira de Medicina Tropical, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 2 countries.

Lutiana Amaral de MeloFundação Ezequiel Dias, Diretoria de Pesquisa e Desenvolvimento, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-5216-1602
Mayara Rodrigues Brandão de PaivaFundação Ezequiel Dias, Diretoria de Pesquisa e Desenvolvimento, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-6449-7904
Gabriella Maria Fernandes-CunhaByers Eye Institute at Stanford University School of Medicine, Ophthalmology, Palo Alto, CA, United States.ORCID http://orcid.org/0000-0002-9934-5310
Armando Silva-CunhaUniversidade Federal de Minas Gerais, Faculdade de Farmácia, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-1161-8936
Marcos Paulo Gomes MolFundação Ezequiel Dias, Diretoria de Pesquisa e Desenvolvimento, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-2568-3579
Sílvia Ligorio FialhoFundação Ezequiel Dias, Diretoria de Pesquisa e Desenvolvimento, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0001-8068-5211
Ezequiel Dias Foundation · BRSmith-Kettlewell Eye Research Institute · USUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOcular toxoplasmosis is the leading cause of infectious posterior uveitis worldwide, accounting for 30-50% of all cases in immunocompetent patients. Conventional treatment is associated with adverse effects and does not prevent recurrence. Intravitreal drug administration can improve disease outcomes and reduce side effects. Herein, we conducted a systematic review and meta-analysis on the efficacy of intravitreal injections for treating ocular toxoplasmosis.

methodsThe systematic search was conducted using PubMed, SciELO, and Google Scholar with the descriptors "ocular toxoplasmosis" AND "intravitreal". We analyzed studies that met the inclusion criteria, i.e., experimental cases in patients treated intravitreally for ocular toxoplasmosis. Considering the systematic review, we focused on the number of intravitreal injections, the therapeutic drug class, and the presence of preexisting conditions. To assess the efficacy of intravitreal injections, a meta-analysis was performed using visual acuity, side effects, disease recurrence, and inflammatory responses as variables.

resultsIntravitreal injection-induced side effects were rarely observed (0.49% [0.00, 1.51%] ). The use of antiparasitic and anti-inflammatory drugs afforded improved visual acuity (99.81% [98.60, 100.00%]) and marked effectiveness in treating ocular toxoplasmosis.

conclusionsIntravitreal injections may facilitate the successful treatment of ocular toxoplasmosis. However, clinicians should carefully evaluate the presence of preexisting conditions for ocular toxoplasmosis or previous diseases, as these can impact the decision to administer intravitreal injections.

Indexed as

Drug-Related Side Effects and Adverse ReactionsEye InfectionsToxoplasmosisHumans

Identifiers

PMID37222350
PMCPMC10204153
OpenAlexW4377238594

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.