Evidence map›Paper›PMID 40542859›Full record

Trial reportGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Comparative analysis of anterior chamber stability with a cohesive ophthalmic viscosurgical device versus the soft-shell technique.

Daniel M Handzel, Chiraz Ben Abdallah, Markus S Ladewig, Walter Sekundo

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Quantitative assessment of ophthalmic viscosurgical device retention during phacoemulsification and aspiration: an ex vivo analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    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

4 authors.

Daniel M HandzelPhilipps-University Marburg, Campus Fulda, Fulda, Germany. dhandzel@augenaerzte-fulda.de.ORCID http://orcid.org/0000-0002-5936-1826
Chiraz Ben AbdallahAugenzentrum Osthessen, Standort Augenaerzte im Altstadt-Carree, Dalbergstr. 22, 36037, Fulda, Germany.
Markus S LadewigPhilipps-University Marburg, Campus Fulda, Fulda, Germany.
Walter SekundoUniversity Eye Hospital, Philipps-University Marburg, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the properties of different ophthalmic viscosurgical devices (OVD) in respect of their ability to create and maintain high intraocular pressure (IOP) during the creation of a continuous curvilinear capsulorhexis (CCC).

methodsIn this randomized interventional study IOP was measured using rebound tonometry with sterilized probes immediately before the beginning of the CCC and immediately afterwards during cataract surgery. The study included 177 eyes in four groups using two different OVD - hyaluronic acid (HA) and a combination of HA and hydroxy propylmethylcellulosis (HPMC) according to the soft shell-technique (SST) - and two different instruments, Utrata forceps (UF) and 26 g cystotome (RN).

resultsThe drop in intraocular pressure (IOP) during capsulorhexis was measured at 57.0 ± 12.2 mmHg in eyes treated with HA (90) and 63.1 ± 13.4 mmHg in eyes treated with SS (87). The difference in IOP reduction between HA and SS did not reach statistical significance (p = 0.060).

conclusionsThe use of different OVD did not result in a significant difference in IOP drop. As the soft shell-technique has shown superiority in respect of endothelial protection, these results should encourage cataract surgeon to resort to the soft shell-technique more often if not use it as a standard technique.

Indexed as

Anterior ChamberCapsulorhexisHyaluronic AcidIntraocular PressurePhacoemulsificationViscosupplementsAgedAged, 80 and overEquipment DesignFemaleHumansMaleMiddle AgedProspective StudiesTonometry, OcularHyaluronic AcidViscosupplementsCapsulorhexisCataract surgeryIntraoperative tonometryOphthalmic viscosurgical deviceRebound tonometry

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.