Evidence map›Paper›PMID 40772916›Full record

SynthesisActa ophthalmologica2026

Interventions for submacular haemorrhage: A systematic review and network meta-analysis of controversies-On behalf of the Spanish Vitreo-Retinal Society (SERV).

Salvador Pastor-Idoate, Pablo Redruello-Guerrero, Laura de Juan Hernández, Gregorio Benites-Narcizo, Mario Rivera-Izquierdo, José García-Arumí, José Carlos Pastor Jimeno

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta ophthalmologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Salvador Pastor-IdoateDepartment of Ophthalmology, Clinical University Hospital, Valladolid, Spain.ORCID https://orcid.org/0000-0002-6463-4227
Pablo Redruello-GuerreroDepartment of Ophthalmology, Clinical University Hospital, Valladolid, Spain.ORCID https://orcid.org/0000-0001-9992-5801
Laura de Juan HernándezDepartment of Ophthalmology, Clinical University Hospital, Valladolid, Spain.
Gregorio Benites-NarcizoInstitute of Applied Ophthalmobiology (IOBA), University of Valladolid, Valladolid, Spain.ORCID https://orcid.org/0000-0001-9311-5023
Mario Rivera-IzquierdoDepartment of Preventive Medicine and Public Health, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0001-6159-6037
José García-ArumíNetworks of Cooperative Research Oriented to Health Results, RICORS-REI, National Institute of Health Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0001-8827-1160
José Carlos Pastor JimenoInstitute of Applied Ophthalmobiology (IOBA), University of Valladolid, Valladolid, Spain.ORCID https://orcid.org/0000-0001-5934-7306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review aims to evaluate and synthesize the existing literature on the interventions used for submacular haemorrhage (SMH), highlighting the controversies and differences in clinical practice.

methodA systematic review was conducted following the PRISMA guidelines. A comprehensive search was performed across multiple databases, including MEDLINE, EMBASE and Cochrane Library, to identify studies on SMH treatment. Inclusion criteria encompassed randomized controlled trials, cohort studies and case series that focused on different therapeutic interventions. Data on functional outcomes, efficacy and safety of the interventions were extracted and analysed.

resultsThe review included 150 studies, of which 38 were included in the network meta-analysis. The analysis of best corrected visual acuity (BCVA) Included 26 studies, 20 interventions and 2125 eyes. Heterogeneity was moderate (I

conclusionsThere is no consensus on a standard evidence-based treatment for SMH. Minimally invasive strategies are promising, but factors such as timing, lesion size and anti-VEGF use remain critical. Further large-scale randomised trials are needed to define optimal management.

Indexed as

OphthalmologyRetinal HemorrhageSocieties, MedicalVisual AcuityVitrectomyAngiogenesis InhibitorsHumansNetwork Meta-Analysis as TopicSpainAngiogenesis Inhibitorsage‐related macular degenerationanti‐vascular endothelial growth factorpars plana vitrectomypneumatic displacementpolypoidal choroidal vasculopathysubmacular haemorrhagesubretinal haemorrhagetissue plasminogen activator

Identifiers

PMID40772916
PMCPMC12888954

What OpenQuestion holds

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LicenceCC BY
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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.