Evidence map›Paper›PMID 37365446›Full record

ReviewIrish journal of medical science2024

Treatment outcomes of PCR-positive acute retinal necrosis.

Ahmad M Sidiqi, Mahadev Bhalla, Haaris M Khan, Forson Chan, Christopher Lowe, Eduardo V Navajas

Abstract readReview
PubMed Publisher
In one paragraph

Review in Irish journal of medical science, 2024. 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
0.3field-weighted citation impact, top 45% 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, 1 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 1 country.

Ahmad M SidiqiDivision of Ophthalmology, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Mahadev BhallaOphthalmology & Visual Sciences, University of British Columbia, Vancouver, BC, Canada.
Haaris M KhanOphthalmology & Visual Sciences, University of British Columbia, Vancouver, BC, Canada.
Forson ChanOphthalmology & Visual Sciences, University of British Columbia, Vancouver, BC, Canada.
Christopher LoweDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, Canada.
Eduardo V NavajasOphthalmology & Visual Sciences, University of British Columbia, Vancouver, BC, Canada. edunavajas@gmail.com.ORCID http://orcid.org/0000-0001-5525-1913
University of British Columbia · CAMcMaster University · CAProvidence Health Care · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute retinal necrosis (ARN) is a progressive necrotizing retinitis caused by viral infection. Optimal management strategies have not been established for this detrimental disease. Previous literature published suggests that Varicella-zoster virus (VZV) and Herpes simplex virus-1 (HSV1) are the most common promoters of acute retinal necrosis (ARN).

aimsThe purpose of our study was to investigate the viral distribution, demographic, and treatment outcomes of ARN.

methodsA retrospective chart review evaluated data from PCR-positive ARN patients diagnosed between 2009 and 2018.

resultsAnalysis of fourteen eyes from 12 patients found CMV and VZV as the commonest causes of ARN. Patients on 1 g of valacyclovir three times a day (V1T) had worse vision between first and final visits (mean difference of 1.25 ± 0.65, n = 2) compared with patients treated with 2 g of valacyclovir three times a day (V2T), or 900 mg twice a day of valganciclovir (V9B) (mean difference of - 0.067 ± 0.13, n = 6, and 0.067 ± 0.067, n = 6, respectively). Both V1T patients developed retinal detachments (RD). Both CMV patients treated with intravitreal triamcinolone developed ARN, elevated IOP, and one developed multiple RD.

conclusionsOur review found increased incidence of CMV-positive ARN. Patients with zone 1 disease had worse initial visual acuity. Moreover, patients had more favorable outcomes with V2T and V9B compared to V1T. CMV-positive patients clinically worsened after intravitreal steroid injections, further underscoring the value of a PCR diagnosis to tailor the patients' treatment plan accordingly.

Indexed as

Cytomegalovirus InfectionsRetinal DetachmentRetinal Necrosis Syndrome, AcuteHerpesvirus 3, HumanHumansPolymerase Chain ReactionRetrospective StudiesTreatment OutcomeValacyclovirValacyclovirInfectious diseasePanuveitisRetinitisUveitisVitritis

Identifiers

PMID37365446
OpenAlexW4382182202

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.