Evidence map›Paper›PMID 39139269›Full record

ArticleNIHR open research2023

A Randomised Controlled Trial of Early Vitrectomy and Intravitreal Antibiotics for Post-operative Exogenous Endophthalmitis (EVIAN study): study protocol for a feasibility trial.

Mahiul Muhammed Khan Muqit, Carlos Pavesio, Hayley Boston, Keerththika Sriharan, Yanzhong Wang, Elena Pizzo, Stephen Cobb, Christopher Spink, James Bainbridge

Abstract read
In one paragraph

Article in NIHR open research, 2023. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Mahiul Muhammed Khan MuqitVitreoretinal Service, Moorfields Eye Hospital, London, UK.ORCID https://orcid.org/0000-0003-1161-3956
Carlos PavesioUveitis Service, Moorfields Eye Hospital, London, UK.
Hayley BostonResearch and Development, Moorfields Eye Hospital, London, UK.
Keerththika SriharanResearch and Development, Moorfields Eye Hospital, London, UK.
Yanzhong WangSchool of Life Course and Populational Sciences, Kings College London, London, UK.
Elena PizzoDepartment of Applied Health Research, University College London, London, England, UK.
Stephen CobbThe Royal Courts of Justice, London, UK.
Christopher SpinkPatient Representative, Moorfields Eye Hospital, London, UK.
James BainbridgeVitreoretinal Service, Moorfields Eye Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative bacterial endophthalmitis is an infection of the eye's internal tissues resulting from an intraocular procedure. The condition is uncommon but can cause severe and irreversible impairment of sight. Standard management involves administration of antibiotics with or without subsequent removal of the infected vitreous gel by vitrectomy surgery. Surgical intervention is typically reserved for infections that persist despite a period of medical management alone. We aim to determine whether outcomes can be improved by performing surgery without delay. To explore the feasibility of a definitive randomised controlled trial and to determine the number of participants required, we will conduct a multicentre feasibility trial. This trial will include 40 affected individuals, allocated randomly to either standard of care, being intravitreal antibiotic administration alone, or to early vitrectomy surgery in addition to antibiotic administration. We will determine the feasibility and size of a definitive trial by evaluating the participants and the outcomes for their sight. Research Ethics Committee approval (REC 20/WM/0264). Here we describe the trial protocol.

Indexed as

Endophthalmitis; vitrectomyintravitreal antibiotics; randomised controlled trial; visual acuity; complications

Identifiers

PMID39139269
PMCPMC11320040

What OpenQuestion holds

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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.