Evidence map›Paper›PMID 40419778›Full record

ArticleEye (London, England)2025

Predicting post-surgery change in visual acuity after successful repair of macula-off retinal detachments: findings from a large prospective UK cohort study.

David Yorston, Paul H J Donachie, D A Laidlaw, David H Steel, Tom H Williamson, members of the Britain & Eire Association of Vitreoretinal surgeons (BEAVRS) and Euretina Retinal Detachment Study Groups

Erratum issuedAbstract 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. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

David YorstonGartnavel Hospital, Glasgow, UK. dbyorston@btinternet.com.ORCID http://orcid.org/0000-0001-7259-5320
Paul H J DonachieGloucestershire Hospitals NHS Foundation Trust, Cheltenham, GL53 7AN, UK.ORCID http://orcid.org/0000-0002-2989-8972
D A LaidlawGuy's and St. Thomas' NHS Foundation Trust, London, UK.
David H SteelSunderland Eye Infirmary, Sunderland, UK and Bioscience Institute, Newcastle University, Newcastle Upon Tyne, UK.ORCID http://orcid.org/0000-0001-8734-3089
Tom H WilliamsonGuy's and St. Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-1879-449X
members of the Britain & Eire Association of Vitreoretinal surgeons (BEAVRS) and Euretina Retinal Detachment Study Groups

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify risk factors affecting the change in visual acuity in successfully re-attached macula-off rhegmatogenous retinal detachment (RD) surgery.

designA cohort study, using an online database, of visual outcomes for 2770 macula-off retinal detachments that were successfully re-attached by vitrectomy and internal tamponade. The database included detailed retinal diagrams of each detachment.

main outcome measureThe change in LogMAR visual acuity from pre-operatively to post-operatively.

resultsMale patients accounted for 64.6% of the sample and the median age was 63 years old. The median pre-operative VA was counting fingers (LogMAR 1.98); this improved to 0.30 LogMAR post-operatively. An improvement in VA of ≥0.30 LogMAR was achieved by 88.0% eyes. The change in VA model identified the preoperative VA, patient age, duration of central vision loss, lens status at follow up, extent of detachment, and the number of breaks in the detached retina, as factors influencing the change in VA. The model had an adjusted R

conclusionsGreater post-operative visual acuity improvement was more likely in eyes that were pseudophakic at follow up, and had shorter durations of central vision loss. Non modifiable factors associated with greater vision improvement included worse presenting vision, younger age, less extensive detachment and less than three breaks in the detached retina. These results confirm that prompt surgery improves functional outcomes in successfully treated macula off retinal detachments irrespective of presenting visual acuity.

Indexed as

Macula LuteaRetinal DetachmentVisual AcuityVitrectomyAdultAgedAged, 80 and overEndotamponadeFemaleHumansMaleMiddle AgedPostoperative PeriodProspective StudiesRisk FactorsUnited Kingdom

Identifiers

PMID40419778
PMCPMC12274463

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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.