Evidence map›Paper›PMID 38424638›Full record

ReviewInternational journal of retina and vitreous2024

Surgical management of retinal detachment and macular holes secondary to ocular toxoplasmosis: a systematic review and meta-analysis.

Dillan Cunha Amaral, Mark Lane, Eduardo Henrique Cassins Aguiar, Guilherme Nunes Marques, Luiza Visentin Cavassani, Márcio Penha Morterá Rodrigues, Milton Ruiz Alves, José Eduardo Ferreira Manso, Mário Luiz Ribeiro Monteiro, Ricardo Noguera Louzada

Open access · goldAbstract readReview
In one paragraph

Review in International journal of retina and vitreous, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

10 authors at 3 institutions in 2 countries.

Dillan Cunha AmaralFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Mark LaneMoorfields Eye Hospital, London, UK.
Eduardo Henrique Cassins AguiarFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Guilherme Nunes MarquesFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Luiza Visentin CavassaniFaculdade de Medicina, Centro Universitário Max Planck, Indaiatuba, Brazil.
Márcio Penha Morterá RodriguesFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Milton Ruiz AlvesFaculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
José Eduardo Ferreira MansoFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Mário Luiz Ribeiro MonteiroFaculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Ricardo Noguera LouzadaFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. louzada@hucff.ufrj.br.ORCID http://orcid.org/0000-0002-9610-5768
Universidade Federal do Rio de Janeiro · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRMoorfields Eye Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasma gondii causes ocular toxoplasmosis (OT), involving inflammation, scarring, and retinal complications. The OT complications were retinal detachment (RD), and retinal breakage (RB). Surgical interventions like scleral buckling (SB) and vitrectomy are common. Limited understanding exists of the safety and efficacy of surgical management of RD/RB secondary to OT. Another complication is toxoplasmosis-related macular holes (tMH), with sparse evidence on surgical outcomes. This meta-analysis aims to clarify clinical characteristics, and surgical results, and enhance understanding of RD, RB, and MH secondary to OT.

methodsPubMed, Cochrane, Embase and Web of Science database were queried for retrospective studies, case series and case reports that provided information on RD, RB and MH associated with OT and reported the outcomes of: (1) Retinal reattachment of RD/RB and tMH closure; (2) Best-corrected visual acuity (BCVA) improvement; and (3) Complications. Heterogeneity was examined with I

resultsFourteen final studies, comprising a total of 96 patients were analyzed, 81 with RD or RB and 15 with tMH. Overall, surgical management was associated with several advantages: a high rate of retinal reattachment of RD/RB of 97% (95% Confidence Interval [CI] 92-100%; I

conclusionsThe systematic review and meta-analysis showed that the treatment approaches currently in use are effective, with a remarkable rate of retinal reattachment of RD/RB, tMH closure, and substantial improvements in visual acuity. More randomized, long-term studies on disease and surgical factors can provide valuable insights into their impact on anatomical and visual outcomes.

Indexed as

Macular holeMeta-analysisOcular toxoplasmosisRetinal breakRetinal detachment

Identifiers

PMID38424638
PMCPMC10903043
OpenAlexW4392288356

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.