Evidence map›Paper›PMID 39394695›Full record

ArticleActa ophthalmologica2025

Pseudophakic cystoid macular oedema and posterior capsular opacification rates after combined phaco-trabeculectomy vs. phaco alone.

Eliya Levinger, Michael Ostrovsky, Asaf Friehmann, Omar Elhaddad, Derek Tole, Kieren Darcy, Duncan Leadbetter, Raimo Tuuminen, Mordechai Goldberg, Asaf Achiron

Abstract read
In one paragraph

Article in Acta ophthalmologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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.

Eliya LevingerTel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Michael OstrovskyTel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID https://orcid.org/0000-0001-7128-3288
Asaf FriehmannSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-6325-7175
Omar ElhaddadUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol Eye Hospital, Bristol, UK.
Derek ToleUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol Eye Hospital, Bristol, UK.
Kieren DarcyUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol Eye Hospital, Bristol, UK.
Duncan LeadbetterSulis Hospital, Bath, UK.
Raimo TuuminenDepartment of Ophthalmology, Kymenlaakso Central Hospital, Kotka, Finland.ORCID https://orcid.org/0000-0003-1550-8125
Mordechai GoldbergGlaucoma Service, Ophthalmology Department, Shaare Zedek Medical Center, Jerusalem, Israel.
Asaf AchironTel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID https://orcid.org/0000-0001-6315-6908

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the risk for pseudophakic cystoid macular oedema (PCME) and posterior capsular opacification (PCO) associated with combined cataract surgery and trabeculectomy compared to cataract surgery alone.

methodsData analysis of subjects who underwent routine cataract surgery without and with concomitant trabeculectomy at the Department of Ophthalmology, Bristol Eye Hospital, the UK, between January 2008 and December 2017. Odds ratios (ORs) for PCME between the types of surgeries were calculated using univariate and multivariate regression analysis. Multivariate Cox regression controlling for age and gender was used to estimate the hazard ratio (HR) for neodymium-doped yttrium aluminium garnet (Nd:YAG) laser capsulotomies.

resultsThis study included 56 973 cataract surgeries without and 288 with concomitant trabeculectomy (phaco-trab) with a mean follow-up time of 6.9 ± 4.2 years. Baseline variables (age and gender, diabetes, pseudoexfoliation, use of pupil expansion device and postoperative follow-up time) were comparable between the groups. Postoperative rates of PCME remained non-significant between the cataract surgery and phaco-trabe groups both in uni- and multi-variate analysis (OR 0.347, 95%CI 0.049-2.477, p = 0.291). Furthermore, in Cox regression analysis adjusted for the patients' age and gender, Nd:YAG laser capsulotomy rates remained non-significant between the cataract surgery and phaco-trabe groups (HR 1.250, 95%CI 0.883-1.769, p = 0.209).

conclusionsIn our large cohort study, combining trabeculectomy with cataract surgery did not predispose to an increased PCME or Nd:YAG laser capsulotomy rates.

Indexed as

Capsule OpacificationMacular EdemaPhacoemulsificationPostoperative ComplicationsPseudophakiaTrabeculectomyAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsVisual Acuitycataract surgeryposterior capsular opacificationpseudophakic cystoid macular oedematrabeculectomy

Identifiers

PMID39394695
PMCPMC11704849

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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.