Evidence map›Paper›PMID 39661356›Full record

ArticleInvestigative ophthalmology & visual science2024

Epiretinal Membrane: Correlations Among Clinical, Immunohistochemical, and Biochemical Features and Their Prognostic Implications.

Hyun Seung Yang, Suho Choi, Soojin Kim, Chan Hong Min, Dongwoo Kim, Youngseop Lee, Minji Kim, Donghoon Koo, Jaiyoung Ryu, Jeongmin Kim

Registry-linked trialAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07095907 (Post-surgical Functional Results in Patients With Epiretinal Membrane Undergoing Controlled Macular Detachment), which is not on this 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.

NCT07095907 narecruitingnot on this mapstarted 2025, after this paper: background citation

Post-surgical Functional Results in Patients With Epiretinal Membrane Undergoing Controlled Macular Detachment: Pilot Study.

TypeinterventionalSponsorAsociación para Evitar la Ceguera en MéxicoRan2025 to 2026Enrolled36ConditionsEpiretinal Membrane SurgeryArmsPars plana vitrectomy with epiretinal membrane peeling and controlled macular detachment
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

10 authors.

Hyun Seung YangDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.
Suho ChoiLaboratory of Cell Image, Seoul Shinsegae Eye Center, Seoul, Republic of Korea.
Soojin KimDepartment of Ophthalmology, Veterans Health Service Medical Center, Seoul, Republic of Korea.
Chan Hong MinDepartment of Ophthalmology, Veterans Health Service Medical Center, Seoul, Republic of Korea.
Dongwoo KimDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.
Youngseop LeeDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.
Minji KimDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.
Donghoon KooDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.
Jaiyoung RyuDepartment of Mechanical Engineering, Korea University, Seoul, Republic of Korea.
Jeongmin KimDepartment of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate correlations among clinical, immunohistochemical, and biochemical characteristics of epiretinal membranes (ERMs) and their prognostic implications. Methods: This prospective study included 120 patients with idiopathic ERM who underwent vitrectomy. Preoperative and postoperative best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) were measured. Surgical ERM tissues underwent immunohistochemistry (IHC) analysis, and vitreous samples were analyzed for cytokine levels. Statistical analysis assessed associations among BCVA, OCT metrics (ERM stage, inner-retinal irregularity index [IRII], ellipsoid zone disruption [EZD]), IHC features (cell density, protein expression), and cytokines. Results: The average age of the participants was 70.2 ± 7.6 years, and ERM stages were distributed as Stage 2 in 34 eyes (28.3%), Stage 3 in 54 eyes (45.0%), and Stage 4 in 32 eyes (26.7%). Advancing ERM stage was linked with worsening visual outcomes, higher preoperative IRII, increased EZD incidence, increased ERM cellularity, and elevated TGF-β1 level. Protein expression for myofibroblasts (αSMA), glial cells (GFAP), hyalocytes (CD45), and retinal pigment epithelium (RPE) cells (PRPH2) correlated positively with ERM stage. Multivariate analysis showed preoperative IRII significantly correlated with preoperative BCVA, GFAP, PRPH2, and type I collagen. TGF-β1 was significantly associated with preoperative IRII, αSMA, type I collagen, and N-cadherin, but not with postoperative BCVA. Postoperative BCVA was significantly correlated with preoperative BCVA, preoperative IRII, preoperative EZD, αSMA, and PRPH2. Conclusions: Early-stage ERM is associated with better visual prognosis, fewer inner and outer retinal changes in OCT, and fewer epithelial-mesenchymal transition-related alterations in ERM tissues. Key prognostic indicators for postoperative BCVA include preoperative BCVA, IRII, EZD, myofibroblasts, and RPE cells. TGF-β1 promotes the transdifferentiation of intraocular cells, impacting OCT features directly and visual outcomes indirectly.

Indexed as

Epiretinal MembraneImmunohistochemistryTomography, Optical CoherenceVisual AcuityVitrectomyAgedAged, 80 and overCytokinesFemaleHumansMaleMiddle AgedPrognosisProspective StudiesVitreous BodyCytokines

Identifiers

PMID39661356
PMCPMC11636661

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.