Evidence map›Paper›PMID 39774294›Full record

ArticleEye (London, England)2025

Uveitic macular oedema in ocular tuberculosis patients in a non-endemic country: characteristics, management, and visual Outcomes.

Ikhwanuliman Putera, Alberta A H J Thiadens, Alamanda Siti Nurhasanah Larasmanah, Rina La Distia Nora, Willem A Dik, P Martin van Hagen, Saskia M Rombach, Josianne C E M Ten Berge

Abstract read
In one paragraph

Article in Eye (London, England), 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

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

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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

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

8 authors.

Ikhwanuliman PuteraDepartment of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands. i.putera@erasmusmc.nl.ORCID 0000-0002-9350-5133
Alberta A H J ThiadensDepartment of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Alamanda Siti Nurhasanah LarasmanahDepartment of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Rina La Distia NoraDepartment of Ophthalmology, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia.ORCID 0000-0002-7026-5341
Willem A DikLaboratory Medical Immunology, department of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
P Martin van HagenDepartment of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Saskia M RombachDepartment of Internal Medicine Section Allergy & Clinical Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Josianne C E M Ten BergeDepartment of Ophthalmology, Erasmus University Medical Center, Rotterdam, The Netherlands. j.tenberge@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe clinical features, treatment strategies and visual acuity changes of eyes with uveitic macular oedema (UMO) in ocular tuberculosis (OTB) patients from a non-TB-endemic country.

methodsThis retrospective study was conducted using a 10-year period registry of OTB patients diagnosed in Erasmus MC, Rotterdam. Longitudinal analysis of visual acuity trajectory in eyes with and without UMO was performed using linear mixed effect model.

resultsOut of 93 included patients, 23 (24.7%; 26 eye episodes) presented with baseline UMO. Older age (p = 0.024) and diabetes coexistence (p = 0.048) were associated with UMO. Eyes with baseline UMO showed lower presenting best-corrected visual acuity (BCVA) (p = 0.024). Posterior uveitis (p = 0.005), the presence of active vitreous cells (p = 0.016) and retinal vasculitis (p = 0.008) were ocular signs associated with UMO. A step-wise treatment approach primarily initiated with local steroids, followed by a combination with oral acetazolamide and, if necessary, additional systemic immunosuppressants. Overall, this approach resulted in complete UMO resolution in 77% (20/26) of cases. UMO resolution was shorter among eyes co-managed with ATT, although statistically not significant (p = 0.144). Eyes experiencing at least one UMO episode exhibited lower visual acuity at the last-follow-up than those without (p = 0.020).

conclusionsActive vitreous cells, retinal vasculitis and posterior uveitis are associated with UMO among OTB patients. The time-to-resolution of UMO for eyes co-managed with ATT was shorter compared to those without, suggesting that patients with UMO in OTB should be treated with ATT.

Indexed as

Macular EdemaTuberculosis, OcularUveitisVisual AcuityAcetazolamideAdultAgedAntitubercular AgentsFemaleGlucocorticoidsHumansImmunosuppressive AgentsMaleMiddle AgedNetherlandsRetrospective StudiesAcetazolamideAntitubercular AgentsGlucocorticoidsImmunosuppressive Agents

Identifiers

PMID39774294
PMCPMC11794657

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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.