Evidence map›Paper›PMID 41029784›Full record

ArticleInternational journal of retina and vitreous2025

"Real world outcomes of intravitreal brolucizumab for persistent diabetic macular edema".

Saarang Hansraj, Ritesh Narula, Vishal Ramesh Raval, Raja Narayanan, Mudit Tyagi

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Saarang HansrajSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, Kallam Anji Reddy Campus, Anant Bajaj Retina Institute, L V Prasad Eye Institute, Hyderabad, India.
Ritesh NarulaSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, Kallam Anji Reddy Campus, Anant Bajaj Retina Institute, L V Prasad Eye Institute, Hyderabad, India.
Vishal Ramesh RavalSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, Kallam Anji Reddy Campus, Anant Bajaj Retina Institute, L V Prasad Eye Institute, Hyderabad, India.
Raja NarayananSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, Kallam Anji Reddy Campus, Anant Bajaj Retina Institute, L V Prasad Eye Institute, Hyderabad, India.
Mudit TyagiSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, Kallam Anji Reddy Campus, Anant Bajaj Retina Institute, L V Prasad Eye Institute, Hyderabad, India. drmudittyagi@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimChronic Persistent Diabetic Macular Edema can be a clinical challenge. The aim of this study is to assess the outcomes of intravitreal brolucizumab 6 mg/0.05 ml for persistent diabetic macular edema (P-DME) in a real-world clinical setting.

methodsA prospective interventional trial of consecutive patients with P-DME was conducted at a tertiary care center in India. P-DME was defined as edema persisting despite more than three intravitreal anti-VEGF injections or despite a combination of anti-VEGFs, intravitreal steroids and/or laser photocoagulation. The change in visual acuity (VA), central retinal thickness (CRT) and any incidences of adverse effects were analyzed.

results19 eyes of 13 patients received a mean of 3.3 injections at a mean interval of 11.1 weeks. The median VA improved from 0.40 logMAR (20/50) to 0.35 logMAR (20/44) after a mean period of 13 weeks after the last injection, which was statistically significant (p = 0.004). The CRT reduced from 517 microns to 237 microns (p = 0.001). One patient had an episode of intraocular inflammation, which was treated successfully with topical steroids. The same patient again received brolucizumab with no recurrent inflammation.

conclusionsIntravitreal brolucizumab helped improve visual acuity in patients with P-DME and achieved a reduction of 54.1% in the CRT at a longer mean reinjection interval. The rate of intraocular inflammation was 5.2% without any permanent visual impairment.

Indexed as

anti-VEGFBrolucizumabOptical coherence tomographyPersistent diabetic macular edemaRecalcitrant diabetic macular edema

Identifiers

PMID41029784
PMCPMC12487076

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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.