Evidence map›Paper›PMID 40658055›Full record

ReviewOphthalmic plastic and reconstructive surgery

A Comprehensive Review of Dacryoscintigraphy: Part II-Limitations and Future Direction.

Hatem A Tawfik, Bhupendra C K Patel, Raman Malhotra, Mohammad Javed Ali

Abstract readReview
In one paragraph

Review in Ophthalmic plastic and reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hatem A TawfikDepartment of Ophthalmology, Ain Shams University, Cairo, Egypt.
Bhupendra C K PatelMoran Eye Center, University of Utah, Salt Lake City, Utah, U.S.A.
Raman MalhotraCorneoplastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom.
Mohammad Javed AliGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis is the second part of the comprehensive review of dacryoscintigraphy (DSG), which evaluates the major factors that hinder the routine utility of DSG and possible future directions to improve the technology.

methodsThe authors performed a PubMed/Medline search of all articles published in English and other languages on DSG. The data analyzed included the techniques and indications of DSG, the interpretation of the results, and the clinical utility and limitations of DSG.

resultsThe present major review suggests that the findings of DSG do not add significantly to a thorough clinical examination. The diagnostic reliability of DSG is limited by the lack of standardization, poor anatomical resolution, poor quality of images, intra and interobserver variability, low specificity, insufficient correlation with clinical findings, the inability to distinguish stenosis from obstructions, and the inability to assess the results of lacrimal surgery. These limitations raise concerns regarding any justification for its use in everyday lacrimal practice.

conclusionsDSG is not routinely used by the vast majority of lacrimal surgeons worldwide given that in most cases, it does not profoundly impact clinical decision-making. The DSG technology needs to be improved. Hybrid camera devices with higher resolution, and new radiotracers that simulate the biological and chemical properties of tears may help pave the way forward.

Indexed as

Lacrimal Duct ObstructionNasolacrimal DuctRadionuclide ImagingHumans

Identifiers

PMID40658055
PMCPMC13331272

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Registered trials

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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.