Evidence map›Paper›PMID 37237351›Full record

ArticleBMC ophthalmology2023

Intraoperative challenges and complications of cataract surgery between cataract surgery alone and phacovitrectomy in eyes with diabetic retinopathy: efficacy of illuminated chopper-assisted cataract surgery.

Sung Ha Hwang, Haram Kim, Dae Yeong Lee, Dong Heun Nam

Abstract read
In one paragraph

Article in BMC ophthalmology, 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

  1. Article
4 · The record

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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.

Sung Ha HwangDepartment of Ophthalmology, Gil Medical Center, College of Medicine, Gachon University, 21 Namdong-daero 774-beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea.
Haram KimDepartment of Ophthalmology, Gil Medical Center, College of Medicine, Gachon University, 21 Namdong-daero 774-beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea.
Dae Yeong LeeDepartment of Ophthalmology, Gil Medical Center, College of Medicine, Gachon University, 21 Namdong-daero 774-beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea.
Dong Heun NamDepartment of Ophthalmology, Gil Medical Center, College of Medicine, Gachon University, 21 Namdong-daero 774-beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea. eyedawns@gilhospital.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the intraoperative challenges, complications, and operation time of illuminated chopper-assisted cataract surgery between cataract surgery only and phacovitrectomy in eyes with diabetic retinopathy.

methodsOne university hospital, retrospective case series. Two hundred ninety-five eyes of 295 consecutive patients with diabetic retinopathy who underwent cataract surgery only or phacovitrectomy were retrospectively reviewed. Intraoperative challenges and complications of cataract surgery were thoroughly analyzed by 3D viewing of digitally recorded videos. The pupil diameter, operation time, and improved efficacy (100/operation time × pupil diameter) were compared between the cataract surgery only and phacovitrectomy groups.

resultsOf the 295 eyes, 211 underwent cataract surgery only, and 84 underwent phacovitrectomy. Intraoperative challenges such as small pupil, miosis, or poor red reflex occurred more frequently (46 [21.8%] vs. 28 [33.3%], p = 0.029); pupil diameter was smaller (7.34 ± 0.94 vs. 6.89 ± 0.88 mm, p < 0.001) in the phacovitrectomy group than in the cataract surgery only group; however, rates of posterior capsule rupture and operation time were not different between the two groups (0 [0%] vs. 1 [1.2%], p = 0.285; 16.54 ± 2.65 vs. 16.31 ± 4.30 min, p = 0.434). Improved efficacy was higher in the phacovitrectomy group (0.85 ± 0.18 vs. 0.97 ± 0.28, p = 0.002).

conclusionsThe use of an illuminated chopper is a potential solution for diabetic cataract surgery, particularly in phacovitrectomy, by decreasing the use of supplemental devices, operation time, and posterior capsule rupture.

trial registrationRetrospectively registered.

Indexed as

CataractCataract ExtractionDiabetes MellitusDiabetic RetinopathyPhacoemulsificationHumansIntraoperative ComplicationsPostoperative ComplicationsRetrospective StudiesDiabetic retinopathyIlluminated chopper-assisted cataract surgeryIntraoperative challengesPhacovitrectomy

Identifiers

PMID37237351
PMCPMC10214589

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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.