Evidence map›Paper›PMID 40197164›Full record

ArticleBMC ophthalmology2025

Predictive impact of serous retinal detachment in refractory diabetic macular edema.

Zhuo-Hua Zhou, Lu Zhao, Yan-Ling Wang, Jia-Lin Wang

Abstract read
In one paragraph

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

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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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

4 authors.

Zhuo-Hua ZhouDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China.ORCID http://orcid.org/0000-0003-1521-9913
Lu ZhaoDepartment of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China.
Yan-Ling Wang *Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China. wangyanl@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-7191-6660
Jia-Lin Wang *Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China. wangjialin@bjmu.edu.cn.ORCID http://orcid.org/0000-0001-7877-1620

Funding

Beijing Bethune Charitable Foundation No. BJ2022IIT007Beijing Hospitals Authority Innovation Studio of Young Staff Funding Support 202103National Natural Science Foundation of China No.82271124National Natural Science Foundation of China No. 82301204Training Fund for Open Projects at Clinical Institutes and Departments of Capital Medical University CCMU2022ZKYXZ001
6 · The paper itself

Abstract

backgroundAnti-vascular endothelial growth factor (VEGF) drugs are the first-line treatment option for DME management. However, part of DME was refractory to anti-VEGF medicine. With promotion of imaging technology, various retinal morphological characteristics are considered to be related to the prognosis of DME treatment. This study aimed to identify reliable predictive baseline morphological characteristics for refractory diabetic macular edema.

methodsThis retrospective study was to investigate refractory diabetic macular edema and were followed up for 6 months post-treatment. According to the treatment results, the cohort was divided into refractory or improved group. Baseline morphological characteristics were evaluated and analyzed using optical coherence tomography.

resultsSerous retinal detachment (63% vs. 25%, P < 0.05) and foveal eversion (77.8% vs. 41.7%, P < 0.05) are more common morphological characteristics in refractory DME than improved group. Binary logistic regression analysis showed average thickness of serous retinal detachment can predict the risk of refractory DME (OR = 1.052, 95% CI 1.005-1.102, P = 0.030). The area under the receiver operating characteristic curves for serous retinal detachment thickness was 0.922 (95% confidence interval 0.713-0.992).

conclusionPatients with refractory diabetic macular edema exhibited an increased incidence of baseline morphological characteristics, including serous retinal detachment and foveal eversion. The thickness of serous retinal detachment can serve as reliable quantitative biomarker, with diabetic macular edema displaying a serous retinal detachment thickness > 162 μm having a potential to become refractory in this study. This finding may promote early detection of refractory diabetic macular edema.

Indexed as

Diabetic RetinopathyMacular EdemaRetinal DetachmentAgedAngiogenesis InhibitorsFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMaleMiddle AgedPrognosisRetrospective StudiesROC CurveTomography, Optical CoherenceAngiogenesis InhibitorsVascular Endothelial Growth Factor ABiomarkersDiabetic macular edemaMorphological characteristicsOptical coherence tomographyRefractory

Identifiers

PMID40197164
PMCPMC11974119

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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.