Evidence map›Paper›PMID 38214731›Full record

ArticleDie Ophthalmologie2024

[Iatrogenic retinal defects after intravitreal operative drug injections].

David A Märker, Viola Radeck, Fabian Lehmann, Teresa Barth, Horst Helbig, Nicole Eter, Florian Alten, Christoph R Clemens

Open access · hybridAbstract readMulticenter StudyCase ReportsEnglish Abstract
PubMed Publisher
In one paragraph

Article in Die Ophthalmologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Acute and delayed full thickness macular holes in patients with intravitreal VEGF-inhibitors therapy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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

8 authors at 3 institutions in 1 country.

David A MärkerKlinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, 93053, Regensburg, Deutschland, Franz-Josef-Strauss Allee 11. David.Maerker@klinik.uni-regensburg.de.ORCID http://orcid.org/0000-0001-7772-1680
Viola RadeckKlinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, 93053, Regensburg, Deutschland, Franz-Josef-Strauss Allee 11.
Fabian LehmannKlinik für Augenheilkunde, Carl-Thiem Klinikum-Cottbus, Cottbus, Deutschland.
Teresa BarthKlinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, 93053, Regensburg, Deutschland, Franz-Josef-Strauss Allee 11.
Horst HelbigKlinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, 93053, Regensburg, Deutschland, Franz-Josef-Strauss Allee 11.
Nicole EterKlinik für Augenheilkunde, Universitätsklinikum Münster, Münster, Deutschland.
Florian AltenKlinik für Augenheilkunde, Universitätsklinikum Münster, Münster, Deutschland.
Christoph R ClemensKlinik für Augenheilkunde, Universitätsklinikum Münster, Münster, Deutschland.
Klinik und Poliklinik für Augenheilkunde Universitätsklinikum Regensburg · DEUniversity Hospital Münster · DECarl-Thiem-Klinikum Cottbus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravitreal operative drug injections represent one of the most frequently performed medical interventions. The risk profile is low. In addition to intraocular pressure elevation, the most frequent complications include exogenous endophthalmitis, vitreous hemorrhage and rhegmatogenous retinal detachment. Furthermore, isolated cases of lens injuries, macular holes associated with vitreoretinal traction and peripheral retinal defects have been described. In the present case series sharp iatrogenic macular and retinal defects are described.

methodsRetrospective multicenter case collection of patients with iatrogenic retinal defects after intravitreal injections from 2016 to 2023.

resultsIatrogenic retinal trauma after intravitreal injections for treatment of neovascular age-related macular degeneration was identified in 9 cases (72 years ± 8.1, 3 eyes pseudophakic). While sharp injuries within the macula occurred in six cases, extramacular lesions were detected in the other cases.

conclusionIatrogenic retinal and macular injuries are rare complications of intravitreal injections and when correctly carried out are preventable, especially with respect to use of cannulas and the choice of the distance from the limbus.

Indexed as

Eye DiseasesRetinal DetachmentRetinal DiseasesAgedHumansIatrogenic DiseaseIntravitreal InjectionsComplicationsIntravitreal injectionsOutcomeRetinal defectsTreatment

Identifiers

PMID38214731
OpenAlexW4390795246

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.