Evidence map›Paper›PMID 39354377›Full record

ArticleBMC ophthalmology2024

Clinical macular edema following uneventful cataract surgery in eyes without pre-existing fundus diseases: risk factors and treatment prognosis.

Yingjia Lin, Biyao Xie, Shuping Ke, Weiqing Ye, Dingguo Huang, Weiqi Chen, Zijing Huang

Abstract read
In one paragraph

Article in BMC ophthalmology, 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
–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

4 citing papers in PubMed.

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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

7 authors.

Yingjia LinJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Biyao XieJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Shuping KeJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Weiqing YeJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Dingguo HuangJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Weiqi ChenJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China.
Zijing HuangJoint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, Guangdong, China. huangzj@jsiec.org.ORCID http://orcid.org/0000-0003-2909-2538

Funding

Guangdong Province Clinical Teaching Base Teaching Reform Research Project No. 2021JD069Guangdong Province Graduate Education Innovation Program Project No. 2022JGXM069Natural Science Foundation of Guangdong Province 2024A1515012992
6 · The paper itself

Abstract

backgroundTo investigate the risk factors and prognosis of clinical pseudophakic cystoid macular edema (PCME) after uneventful phacoemulsification surgery in patients without pre-existing fundus diseases.

methodsThis was a retrospective case-control study. Medical records between August 2020 and August 2023 were reviewed for patients who had no previous fundus diseases and developed clinical PCME. A control group was randomly chosen and the risk factors for PCME was analyzed by binary logistic regression. Structure and visual prognosis of the PCME cohort were observed and compared among subgroups undergoing different treatment measures.

resultsForty-seven eyes of 47 patients with PCME were included. The development of PCME was associated with higher systolic blood pressure (OR, 1.048; 95%CI 1.002, 1.097; P = .042), no posterior vitreous detachment (OR, 0.215; 95%CI: 0.553, 0.887; P = .032) and shorter axial lengths (OR, 0.401; 95%CI 0.161, 0.997; P = .049) compared to controls. During a mean follow-up of 8.26 months, 36 eyes (76.6%) showed visual improvement with decreased macular thickness. Different treatment modalities, including observation, topical NSAIDs, and intervention therapy, have no significant differences on the visual prognosis (P = 1.000). However, the intervention group had a shorter recovery time compared to the observation group (28.6 vs. 45.9 days, P = .037).

conclusionPCME remains an encountered morbidity in patients without pre-existing fundus diseases. Shorter axial lengths, absence of posterior vitreous detachment, and higher systolic blood pressure are risk factors of PCME. Active intervention failed to improve the prognosis of PCME but could shorten the recovery time.

Indexed as

Macular EdemaPhacoemulsificationVisual AcuityAgedAged, 80 and overCase-Control StudiesFemaleFollow-Up StudiesFundus OculiHumansMaleMiddle AgedPostoperative ComplicationsPrognosisPseudophakiaRetrospective StudiesPhacoemulsificationPrognosisPseudophakic cystoid macular edemaRisk factorsTreatment

Identifiers

PMID39354377
PMCPMC11443798

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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.