Evidence map›Paper›PMID 37878875›Full record

ArticleArquivos brasileiros de oftalmologia2023

Is there a relationship between the first-day results of anti-VEGF therapy for macular edema due to vascular diseases and longterm outcomes?

Betul Onal Gunay, Gurkan Erdogan, Irfan Akalin, Ahmet Kalkisim, Cenap Mahmut Esenulku, Murat Gunay

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de oftalmologia, 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, top 76% 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, 0 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.

Betul Onal GunayDepartment of Ophthalmology, Trabzon Kanuni Training and Research Hospital, University of Health Sciences, Trabzon, Turkey.ORCID 0000-0001-5465-2635
Gurkan ErdoganDepartment of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University Istanbul, Turkey.
Irfan AkalinDepartment of Ophthalmology, Trabzon Kanuni Training and Research Hospital, University of Health Sciences, Trabzon, Turkey.ORCID 0000-0002-8196-018X
Ahmet KalkisimDepartment of Ophthalmology, Trabzon Kanuni Training and Research Hospital, University of Health Sciences, Trabzon, Turkey.
Cenap Mahmut EsenulkuDepartment of Ophthalmology, Trabzon Kanuni Training and Research Hospital, University of Health Sciences, Trabzon, Turkey.
Murat GunayDepartment of Ophthalmology, Faculty of Medicine, Karadeniz Technical University Trabzon, Turkey.ORCID 0000-0002-8874-1473
Uni Research (Norway) · NOIstanbul University · TRKaradeniz Technical University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate early changes after the first antivascular endothelial growth factor injection for macular edema secondary to diabetic retinopathy and retinal vein occlusion and the relationship between longterm outcomes.

methodsThe study enrolled patients who received anti-vascular endothelial growth factor injections for treatment-naive macular edema due to retinal vein occlusion and diabetic retinopathy. The central macular thickness was measured at baseline, post-injection day 1, week 2, and month 1, and at the last visit using spectral-domain optical coherence tomography. A good response was defined as a central macular thickness reduction of ≥10% on post-injection day 1. Patients were reassessed at the last visit with regard to treatment response on post-injection day 1 based on the favorable anatomic outcome defined as a central macular thickness <350 µm.

resultsIn total, 26 (44.8%) patients had macular edema-retinal vein occlusion and 32 (55.2%) had macular edema-diabetic retinopathy. The mean follow-up time was 24.0 (SD 8.5) months. A statistically significant decrease in the central macular thickness was observed in both patients with macular edema-retinal vein occlusion and macular edema-diabetic retinopathy after antivascular endothelial growth factor injection therapy (p<0.001 for both). All patients with macular edema-retinal vein occlusion were good responders at post-injection day 1. All nongood responders at post-injection day 1 belong to the macular edema-diabetic retinopathy group (n=16.50%). The rate of hyperreflective spots was higher in nongood responders than in good responders of the macular edema-diabetic retinopathy group (p=0.03). Of 42 (2.4%) total good responders, one had a central macular thickness >350 µm, whereas 5 (31.2%) of 16 total nongood responders had a central macular thickness >350 µm at the last visit (p=0.003).

conclusionThe longterm anatomical outcomes of macular edema secondary to retinal vein occlusion and diabetic retinopathy may be predicted by treatment response 1 day after antivascular endothelial growth factor injection.

Indexed as

Diabetic RetinopathyMacular EdemaRetinal Vein OcclusionAngiogenesis InhibitorsEndothelial Growth FactorsFollow-Up StudiesHumansIntravitreal InjectionsTomography, Optical CoherenceVascular Endothelial Growth Factor AAngiogenesis InhibitorsEndothelial Growth FactorsVascular Endothelial Growth Factor A

Identifiers

PMID37878875
PMCPMC11632971
OpenAlexW4387094874

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Registered trials

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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.