Evidence map›Paper›PMID 40696932›Full record

ArticleClinical & experimental ophthalmology2025

Association Between Prior Selective Laser Trabeculoplasty and Phaco-iStent Inject Efficacy.

Jeremy C K Tan, Colin I Clement, Andrew White, Hamish Dunn, Bernardo Soares, David Wechsler, Vincent Lee, Mitchell Lawlor, FGB registry

Abstract read
In one paragraph

Article in Clinical & experimental ophthalmology, 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. Article
  2. Article
  3. Review
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.

Jeremy C K TanSave Sight Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4117-7446
Colin I ClementSave Sight Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-1484-2615
Andrew WhiteCentre for Vision Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Hamish DunnSave Sight Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4632-9712
Bernardo SoaresGlaucoma Investigation and Research Unit, Royal Victorian eye and Ear Hospital, Centre of Eye Research Australia, Melbourne, Victoria, Australia.
David WechslerSave Sight Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Vincent LeeSouth West Eye Surgery, Warrnambool, Victoria, Australia.
Mitchell LawlorSave Sight Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7600-2534
FGB registry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the association between prior selective laser trabeculoplasty (SLT) on intraocular pressure (IOP) lowering efficacy of phacoemulsification combined with iStent inject (phaco-iStent).

methodsRetrospective study of 1550 eyes of 1023 patients with and without prior SLT that underwent phaco-iStent. Surgical success was defined at 12 months using three different endpoints: (A) IOP ≤ 21 mmHg and ≥ 20% IOP decrease, or ≥ 1 medication reduction vs. baseline, (B) ≥ 1 medication reduction with no increase in baseline IOP or (C) IOP ≤ 21 mmHg and ≥ 20% IOP decrease alone with no increase in baseline medication use. The prior SLT and no SLT patients were propensity score matched by age, baseline IOP and IOP-lowering medication use and visual field mean deviation (VF MD).

resultsThree hundred and sixty-eight eyes (184 eyes per group) of 313 patients were matched based on baseline IOP and medications, VF MD, and age at surgery. Prior SLT was associated with an increased risk of failure using endpoints A [hazards ratio (HR) 2.13, 95% confidence intervals (CI) 1.34-3.38], B (HR 1.73, CI 1.1-2.72) and C (HR 1.51, CI 1.05-2.16). In eyes with prior SLT, higher baseline IOP was significantly associated with a lower risk of failure to achieve a minimum 20% reduction in IOP from baseline (HR 0.89, 0.85-0.94, p < 0.001).

conclusionIn this observational study, prior SLT was associated with an increased risk of failure after phaco-iStent inject surgery. In eyes with prior SLT, there was a significantly decreased risk of failure in eyes with higher baseline IOP.

Indexed as

Glaucoma, Open-AngleIntraocular PressureLaser TherapyPhacoemulsificationTrabecular MeshworkTrabeculectomyAgedAged, 80 and overAntihypertensive AgentsFemaleHumansMaleMiddle AgedRetrospective StudiesTonometry, OcularTreatment OutcomeAntihypertensive AgentsiStent injectminimally‐invasive glaucoma surgerySLT

Identifiers

PMID40696932
PMCPMC12747488

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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.