Evidence map›Paper›PMID 40525008›Full record

ReviewCureus2025

Risk Factors and Cumulative Incidence of Cystoid Macular Edema After Simple Cataract Surgery: A Systematic Review and Meta-Analysis.

Rafaela Smarlamaki, Eleni-Andromachi Koutsoumpi, Theodora Psaltopoulou, Georgios Kalarakis, Panagiotis Theodossiadis, Ilias Georgalas, Vasileios Peponis, Irini Chatziralli, Theodoros N Sergentanis

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

9 authors.

Rafaela SmarlamakiDepartment of Ophthalmology, Ophthalmiatreio Athens Hospital, Athens, GRC.
Eleni-Andromachi KoutsoumpiDepartment of Ophthalmology, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Theodora PsaltopoulouDepartment of Clinical Therapeutics, "Alexandra" Hospital, School of Medicine, Athens, GRC.
Georgios KalarakisDepartment of Neuroradiology, Karolinska University Hospital, Stockholm, SWE.
Panagiotis Theodossiadis2nd Department of Ophthalmology, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Ilias GeorgalasDepartment of Ophthalmology, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Vasileios PeponisDepartment of Ophthalmology, Ophthalmiatreio Athens Hospital, Athens, GRC.
Irini Chatziralli2nd Department of Ophthalmology, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Theodoros N SergentanisDepartment of Medicine and Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudophakic cystoid macular edema (PCME) is a common side effect following cataract surgery, especially in patients with systemic and/or ocular comorbidities. Research evidence has established the impact of cataract surgery on PCME occurrence; various risk factors could contribute to PCME development, as indicated by epidemiological studies. This research aims to examine the cumulative incidence of PCME and explore the correlation between PCME occurrence, ophthalmic, systemic, and surgery-related risk factors after uncomplicated cataract surgery. PubMed and EMBASE databases were used for this systematic search (end-date of search: March 31, 2024). Random-effects (DerSimonian-Laird) models were used to estimate the pooled cumulative incidence, pooled relative risk (RR), and 95% confidence intervals (95% CIs). Subgroup analyses, sensitivity analyses, and meta-regression analyses were also carried out. The meta-analysis concerning cumulative PCME incidence included 143 studies. Thirty-seven studies were included in a meta-analysis of possible PCME risk factors. Pooled cumulative PCME incidence was found to be 5%. PCME was more frequent in patients with diabetes mellitus (DM) (RR=2.87, 95%Cl: 1.96-4.21), epiretinal membrane (ERM) (RR=4.51, 95%Cl: 3.06-6.64), uveitis (RR=6.76, 95%Cl: 2.49-18.31), pars plana vitrectomy (PPV) (RR=4.11, 95%Cl: 1.86-9.11) and retinal vein occlusion (RVO) (RR=8.79, 95%Cl: 1.90-40.76). DM, ERM, uveitis, PPV, and RVO were associated with PCME. Additional prospective cohort studies investigating various risk factors seem desirable.

Indexed as

cataractcystoid macular edemairvine-gassmeta-analysisphacoemulsificationpost-operative macular edemapseudophakic

Identifiers

PMID40525008
PMCPMC12168746

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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.