Evidence map›Paper›PMID 37904001›Full record

ArticleEye (London, England)2024

Clinical and imaging biomarkers of response to intravitreal dexamethasone implant in eyes with non-infectious uveitic macular oedema.

Maria Vittoria Cicinelli, Claudia Gerosolima, Pierluigi Scandale, Sarah Touhami, Dominika Pohlmann, Audrey Giocanti, Amir Rosenblatt, Anat Loewenstein, Francesco Bandello, Elisabetta Miserocchi and 1 more

Open access · greenAbstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Baseline OCT biomarkers associated with visual prognosis in cystoid macular edema secondary to noninfectious uveitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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  6. 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

11 authors at 5 institutions in 4 countries.

Maria Vittoria CicinelliSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy. Cicinelli.mariavittoria@hsr.it.ORCID http://orcid.org/0000-0003-2938-0409
Claudia GerosolimaSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Pierluigi ScandaleSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.ORCID http://orcid.org/0000-0001-8905-7190
Sarah TouhamiDepartment of Ophthalmology, Reference Center in Rare Diseases, DHU Sight Restore, Hôpital Pitié Salpêtrière, Sorbonne Université, Paris, France.ORCID http://orcid.org/0000-0001-8346-3067
Dominika PohlmannBerlin Institute of Health at Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Audrey GiocantiINSERM, Bordeaux Population Health Research Center, UMR1219, Université de Bordeaux, Bordeaux, France.
Amir RosenblattDivision of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Anat LoewensteinDivision of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-7706-1165
Francesco BandelloSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.ORCID http://orcid.org/0000-0003-3238-9682
Elisabetta MiserocchiSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
International Retina Panel
Vita-Salute San Raffaele University · ITTel Aviv University · ILHumboldt-Universität zu Berlin · DESorbonne Université · FRUniversité de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate clinical and spectral-domain optical coherence tomography (SD-OCT) biomarkers correlating with pre-injection visual acuity (VA), post-injection VA, and the likelihood of macular oedema (MO) regression following dexamethasone (DEX) implant injection in non-infectious uveitic (NIU) patients.

methodsPatient data from Uveitis Services in Milan, Paris, and Berlin were analysed. Eligible participants were NIU patients aged >18 years with MO as the primary indication for DEX treatment. SD-OCT scans and clinical data were collected at the time of DEX injection (pre-injection visit) and after 3 months (post-injection visit). Multivariable regression models, adjusted for pre-injection VA and lens status, were employed to explore associations. MO regression was defined as the absence of intraretinal/subretinal fluid at the post-injection visit.

resultsOur analysis comprised data from 173 DEX treatments, encompassing 103 eyes from 80 patients, with 38 eyes (37%) receiving repeated DEX injections. The absence of the ellipsoid zone (EZ) layer and disorganisation of the inner retinal layers (DRIL) were associated with worse pre- (+0.19 LogMAR, 95% CI 0.01-0.38, p = 0.06, and +0.10 LogMAR, 95% CI 0.02-0.21, p = 0.01) and post-injection VA (+0.33 LogMAR, 95% CI 0.08-0.57, p = 0.01, and +0.17 LogMAR, 95% CI 0.01-0.32, p = 0.04). EZ disruption and DRIL increased significantly (p = 0.01 and p = 0.04), and the chance of gaining ≥5 letters declined in eyes undergoing repeated DEX (p = 0.002). The rate of MO regression after each DEX was 67%. Prolonged MO duration (OR = 0.75/each year, p = 0.02) was associated with reduced likelihood of MO regression. Subretinal fluid was associated with higher rate of MO regression (OR = 6.09, p = 0.01).

conclusionIntegrity of the inner and outer retina is associated with better visual response to DEX. Long-standing or recurrent MO is associated with less chance of both visual and anatomic response. Timely treatment is necessary to maximise the outcomes of MO in NIU patients.

Indexed as

Macular EdemaUveitisBiomarkersDexamethasoneFluorescein AngiographyHumansIntravitreal InjectionsRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeBiomarkersDexamethasone

Identifiers

PMID37904001
PMCPMC10965926
OpenAlexW4388020391

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.