Evidence map›Paper›PMID 37698662›Full record

ArticleInternational ophthalmology2023

Suprachoroidal triamcinolone versus posterior subtenon triamcinolone either alone or formulated in the management of diabetic macular edema.

Ehab Tharwat, Riad Elzaher Hassan Ahmed, Basheer Eltantawy, Ezzeldin Ramadan Ezzeldin, Akram Fekry Elgazzar

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05464953 (Alazher University Dean), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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.

NCT05464953 nacompletednot on this map

Alazher University Dean

TypeinterventionalSponsorAl-Azhar UniversityRan2020 to 2022Enrolled75ConditionsDiabetic Macular Edema of Left EyeArmsTriamcinolone Acetonide, Formulated Triamcinolone
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Efficacy and clinical outcomes of suprachoroidal triamcinolone acetonide in diabetic macular edema patients: a single-arm systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
  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

5 authors at 1 institution in 1 country.

Ehab TharwatDepartment of Ophthalmology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt. ehabtharwat71@domazhermedicine.edu.eg.
Riad Elzaher Hassan AhmedDepartment of Ophthalmology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Basheer EltantawyDepartment of Ophthalmology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Ezzeldin Ramadan EzzeldinDepartment of Ophthalmology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Akram Fekry ElgazzarDepartment of Ophthalmology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Al-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to compare posterior subtenon triamcinolone acetonide injection either formulated or alone versus suprachoroidal triamcinolone in the management of diabetic macular edema.

methodsThis study is a prospective interventional study that included 75 patients, divided into three groups, each group with 25 patients. Group I received a combination of triamcinolone acetonide (TA) (40 mg) and VISCOAT, which is a combination of sodium chondroitin sulfate (20 mg) and sodium hyaluronate (15 mg). The injection was done in the posterior subtenon space using the NAGATA cannula. Group II received TA (40 mg) in the posterior subtenon space. Group III underwent an injection of 4 mg/100µl of TA in the supra choroidal space.

resultsWe found a statistically significant difference between the three studied groups regarding BCVA (P = 0.001) and CMT at six months postoperative (P = 0.001) with the highest median BCVA and lowest median CMT observed in the formulated TA group.

conclusionWe concluded that early treatment of DME by formulated TA is better than TA alone, and suprachoroidal TA in the form of increasing the BCVA and decreasing the CMT without any elevation of IOP. Trial registration number NCT05464953. Date of registration 17/7/2022 (retrospectively registered).

Indexed as

Diabetes MellitusDiabetic RetinopathyMacular EdemaGlucocorticoidsHumansProspective StudiesTreatment OutcomeTriamcinolone AcetonideGlucocorticoidsTriamcinolone AcetonideDiabetes mellitus (DM)Diabetic macular edema (DME)Diabetic retinopathy (DR)Triamcinolone acetonide (TA)

Identifiers

PMID37698662
PMCPMC10724302
OpenAlexW4386623645

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.