Evidence map›Paper›PMID 40287472›Full record

ArticleScientific reports2025

AI-based analysis of surgical outcomes in vitrectomy with and without cystotomy for refractory cystoid diabetic macular edema.

Mizuho Mitamura, Michiyuki Saito, Kiriko Nishiyama-Hirooka, Zhenyu Dong, Ryo Ando, Satoru Kase, Susumu Ishida

Abstract read
In one paragraph

Article in Scientific reports, 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

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

2 citing papers in PubMed.

  1. Review
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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.

Mizuho MitamuraDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.
Michiyuki SaitoDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan. s.michiyuki@med.hokudai.ac.jp.
Kiriko Nishiyama-HirookaDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.
Zhenyu DongDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.
Ryo AndoDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.
Satoru KaseDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.
Susumu IshidaDepartment of Ophthalmology, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare surgical outcomes in vitrectomy with and without cystotomy for refractory cystoid diabetic macular edema (DME). This study enrolled 35 eyes of 29 patients who underwent vitrectomy for refractory DME. The eyes were divided into 2 groups, those undergoing vitrectomy with cystotomy (cystotomy group) (n = 8) and vitrectomy with internal limiting membrane (ILM) peeling only (ILM peeling group) (n = 27). The endpoints were central retinal thickness (CRT), best-corrected visual acuity (BCVA), macular fluid (MF) area. The MF area was determined and measured using a semantic segmentation model "Hokkaido University MF segmentation model" and subdivided into inner MF (IMF) area bounded by the inner nuclear layer (INL), and outer MF (OMF) area between the outer border of INL and ellipsoid zone. The cystotomy group showed a significant reduction in CRT at 1 month postoperatively compared to the ILM peeling group (P < 0.05). The cystotomy group preserved BCVA at 6 months postoperatively compared to preoperatively. There was a significant difference between the cystotomy and the ILM peeling groups in the reduction of the OMF area at 1 month postoperatively (P < 0.01). Cystotomy for refractory DME was more effective in reducing the OMF area.

Indexed as

Diabetic RetinopathyMacular EdemaVitrectomyAgedFemaleHumansMaleMiddle AgedTomography, Optical CoherenceTreatment OutcomeVisual AcuityArtificial intelligenceCystotomyDiabetic macular edemaPars plana vitrectomy

Identifiers

PMID40287472
PMCPMC12033233

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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.