Evidence map›Paper›PMID 38443856›Full record

SynthesisBMC ophthalmology2024

Novel surgical approaches for treating myopic traction maculopathy: a meta-analysis.

Miguel A Quiroz-Reyes, Erick A Quiroz-Gonzalez, Miguel A Quiroz-Gonzalez, Virgilio Lima-Gomez

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Miguel A Quiroz-ReyesOftalmologia Integral ABC, Retina Department, Medical and Surgical Assistance Institution (Nonprofit Organization) affiliated with the Postgraduate Studies Division at the National Autonomous University of Mexico, Lomas de Chapultepec, Lomas de Chapultepec, Mexico City, 11000, Mexico. drquiroz@prodigy.net.mx.
Erick A Quiroz-GonzalezOftalmologia Integral ABC, Retina Department, Medical and Surgical Assistance Institution (Nonprofit Organization) affiliated with the Postgraduate Studies Division at the National Autonomous University of Mexico, Lomas de Chapultepec, Lomas de Chapultepec, Mexico City, 11000, Mexico.
Miguel A Quiroz-GonzalezOftalmologia Integral ABC, Retina Department, Medical and Surgical Assistance Institution (Nonprofit Organization) affiliated with the Postgraduate Studies Division at the National Autonomous University of Mexico, Lomas de Chapultepec, Lomas de Chapultepec, Mexico City, 11000, Mexico.
Virgilio Lima-GomezJuarez Hospital, Colonia Magdalena de Las Salinas, Av. Politecnico Nacional 5160, 07760, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyopic traction maculopathy (MTM) is a complication of pathological myopia and encompasses various pathological conditions caused by tractional changes in the eye. These changes include retinoschisis, foveal retinal detachment, and lamellar or full-thickness macular holes (FTMHs). This meta-analysis evaluated the safety and efficacy of novel surgical for treating MTM.

methodsTo compare the outcomes of different surgical approaches for MTM, multiple databases, including Web of Science, PubMed, Scopus, ClinicalTrials.gov, the Cochrane Central Register of Controlled Trials, Ovid MEDLINE, Embase, and the Meta-Register of Controlled Trials, were comprehensively searched. The meta-analysis was performed using RevMan 5.1.

resultsNine comparative studies involving 350 eyes were included in this meta-analysis. There were significant differences between fovea-sparing internal limiting membrane peeling (FSIP) and standard internal limiting membrane peeling (ILMP). Preoperative best-corrected visual acuity BCVA (standard mean difference (SMD): -0.10, 95% CI: -0.32 to 0.12) and central foveal thickness CFT (SMD: 0.05, 95% CI: -0.22 to 0.33) were not significantly different (p = 0.39 and p = 0.71, respectively). However, the postoperative BCVA improved significantly (SMD = - 0.47, 95% CI: - 0.80, - 0.14, p = 0.006) in the FSIP group compared to the standard ILMP group. Postoperative CFT did not differ significantly between the two groups (p = 0.62). The FSIP group had a greater anatomical success rate than the other groups, although the difference was not statistically significant (p = 0.26). The incidence of postoperative macular hole formation was significantly lower (OR = 0.19, 95% CI = 0.07-0.54; p = 0.05) in the FSIP group than in the standard ILMP group. The unique characteristics of highly myopic eyes, such as increased axial length and structural changes, may have contributed to the greater incidence of FTMH in the ILMP group.

conclusionBased on the findings of this meta-analysis, FSIP is the initial surgical approach for early-stage MTM and has shown promising outcomes. However, to establish the safest and most efficient surgical technique for treating different MTM stages, further comparative studies, specifically those focusing on ILMP and FSIP, are necessary.

trial registrationRetrospectively registered.

Indexed as

Macular DegenerationMyopia, DegenerativeRetinal DetachmentRetinal PerforationsFovea CentralisHumansFoveal retinal detachmentFovea-sparing internal limiting membrane peelingFull-thickness macular holeHigh myopiaMacular retinoschisisMyopic foveoschisisMyopic traction maculopathyOuter lamellar macular holePathologic myopiaPosterior staphyloma

Identifiers

PMID38443856
PMCPMC10913604

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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.