Evidence map›Paper›PMID 39060701›Full record

ArticleOphthalmology and therapy2024

Platelet-rich Fibrin Membrane Transplantation for the Treatment of Highly Myopic Macular Hole Retinal Detachment.

Guojing Lu, Siyu Zeng, Rong Huang, Lei Du

Registry-linked trialAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06200727 (Application of Platelet-rich Fibrin), which is not on this 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
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.

NCT06200727 naunknown statusnot on this map

Application of Platelet-rich Fibrin(PRF) Membrane in Ophthalmic Diseases

TypeinterventionalSponsorLei DuRan2023 to 2025Enrolled170ConditionsPlatelet-rich Fibrin, Macular Holes, Pterygium, GlaucomaArmsPRF membrane tamponade surgery in macular hole, ILM peeling in macular hole, PRF membrane grafting in pterygium, Autologous conjunctival transplantation in pterygium, autologous PRF membrane grafting in trabeculectomy for glaucoma
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  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

4 authors.

Guojing Lu *Eye Center, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, Hubei Province, China.ORCID http://orcid.org/0009-0008-6116-8225
Siyu ZengEye Center, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, Hubei Province, China.ORCID http://orcid.org/0000-0003-2797-9653
Rong Huang *Eye Center, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, Hubei Province, China. hreye1024@163.com.ORCID http://orcid.org/0009-0009-3309-6567
Lei Du *Eye Center, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, Hubei Province, China. du_lei@whu.edu.cn.ORCID http://orcid.org/0000-0002-4434-6586

Funding

China Primary Health Care Foundation [2022] Year [005]
6 · The paper itself

Abstract

introductionHighly myopic macular hole retinal detachment (MHRD) is often associated with a poor prognosis, and there is currently no optimal treatment. Platelet-rich fibrin (PRF), an autologous blood product, has been shown to promote tissue regeneration. This prospective, randomized, controlled study investigated the efficacy of conventional internal limiting membrane (ILM) peeling versus PRF membrane transplantation in highly myopic MHRD.

methodsEyes with highly myopic MHRD were randomly assigned to either a conventional ILM peeling group (IP group, n = 19) or a PRF membrane transplantation group (PMT group, n = 21). The study followed participants for a period of 6 months. The primary outcome measure was macular hole (MH) closure assessed using optical coherence tomography. Secondary outcomes included best-corrected visual acuity (BCVA), central retinal thickness (CRT), superficial vascular density (SVD), deep vascular density (DVD), rate of retinal reattachment, and any complications encountered.

resultsMH closure was achieved in a significantly greater proportion of eyes in the PMT group (21/21, 100.00%) compared to the IP group (15/19, 78.95%) (P = 0.042). Retinal reattachment was accomplished in all patients (100.00%) within both groups. Except for an insignificant difference in BCVA observed at 1 week post-surgery in the IP group, significant improvements in BCVA and CRT were documented in both groups across all other post-operative time points. Final BCVA (P = 0.040), CRT (P = 0.002), SVD (P = 0.002), and DVD (P = 0.013) were all significantly higher in the PMT group compared to the IP group. No serious complications were identified in either group.

conclusionsThis study demonstrated the superiority of PRF membrane transplantation compared to conventional ILM peeling in promoting MH closure and enhancing retinal vascular density in patients with highly myopic MHRD. Additionally, PRF membrane transplantation effectively restores retinal reattachment, improves visual function, and increases retinal thickness without introducing additional complications. TRIAL REGISTRATION NUMBER: www. CLINICALTRIALS: gov , NCT06200727.

Indexed as

Highly myopic macular hole retinal detachmentMacular hole closure ratePlatelet-rich fibrin membraneRetinal vascular densityVisual acuity

Identifiers

PMID39060701
PMCPMC11341796

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Registered trials

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.