Evidence map›Paper›PMID 41166237›Full record

ArticlePloS one2025

Ocular movement abnormalities and ptosis after glaucoma surgery: A retrospective decade long analysis.

Carlo Catti, Federica Tessitore, Daniele Ferrari, Federica Milanesi, Silvia Acerra, Luigi Peci, Arianna Rizzi, Silvio Semeria, Irene Schiavetti, Carlo Alberto Cutolo and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Incidence and progression of ptosis after glaucoma surgery during one year of follow-up.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

12 authors.

Carlo CattiIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Federica TessitoreIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Daniele FerrariIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Federica MilanesiIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Silvia AcerraIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Luigi PeciIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Arianna RizziIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Silvio SemeriaIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Irene SchiavettiDipartimento di Scienze della Salute (DISSAL), Università di Genova, Genoa, Italy.
Carlo Alberto CutoloIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Michele IesterIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.
Aldo VaggeIRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy.ORCID https://orcid.org/0000-0002-9346-9267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo evaluate the prevalence of ptosis, strabismus and the combination of both after glaucoma surgery and determine which kind of surgery is most likely to be linked to these complications.

methodsA total of 705 clinical records of patients who underwent glaucoma surgery at the University Eye Clinic of IRCCS Ospedale Policlinico San Martino, Genoa, from January 1, 2010, to December 31, 2020, were retrospectively evaluated. Surgery procedures were divided in three groups: "Ab interno", "Ab externo" and "Muscle isolation".

resultsOut of all patients 26 developed ptosis alone (3.7%), two developed bilateral ptosis, with a mean of 2.2 ± 1.08 procedures per patient. Highest incidence of ptosis was noticed in patients who underwent muscle isolation surgery (5.7%). Twelve patients developed strabismus alone (1,7%), four underwent unilateral surgery and eight bilateral surgery, with an average of 3.3 ± 1.78 procedures per patient. Strabismus was more frequent following extraocular muscle manipulation surgery (7.5%), showing a statistically significant difference (OR: 6.57; 95% CI: 1.71-21.65; p = 0.003) Seven patients developed both strabismus and ptosis (1.0%), one patient with bilateral ptosis. Four underwent bilateral surgery and three underwent unilateral surgery. The mean number of surgeries was 2.9 ± 1.07, showing a statistically significant difference compared to the uncomplicated glaucoma group (OR: 1.58; 95% CI: 1.01-2.25; p = 0.02). The prevalence of both ptosis and strabismus was higher after muscle isolation surgery (1.9%).

conclusionPtosis, strabismus and the combination of both are rare complications after glaucoma surgery, mostly linked to surgery with muscle isolation.

Indexed as

BlepharoptosisEye MovementsGlaucomaPostoperative ComplicationsStrabismusAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedOculomotor MusclesPrevalenceRetrospective Studies

Identifiers

PMID41166237
PMCPMC12574868

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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.