Evidence map›Paper›PMID 41262836›Full record

ArticleCureus2025

Three-Year Outcomes of iStent Inject W Implantation Combined With Phacoemulsification in Japanese Eyes With Open-Angle Glaucoma: A Retrospective Study.

Takahiro Usami, Takahiro Matsuoka, Masami Yamashita, Ryosuke Yamada, Ayano Tanaka, Hiroki Kaneko

Abstract read
In one paragraph

Article in Cureus, 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. 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

6 authors.

Takahiro UsamiDepartment of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Takahiro MatsuokaDepartment of Ophthalmology, Shizuoka Red Cross Hospital, Shizuoka, JPN.
Masami YamashitaDepartment of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Ryosuke YamadaDepartment of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Ayano TanakaDepartment of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Hiroki KanekoDepartment of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Glaucoma is a leading cause of irreversible blindness. In Japan, most primary open-angle glaucoma (POAG) cases are normal-tension glaucoma (NTG). Micro-invasive glaucoma surgery (MIGS) such as the iStent inject W (Glaukos Corporation, San Clemente, CA) offers a less invasive option, but long-term outcomes in NTG-predominant populations are scarce. Objective The objective of this study is to evaluate three-year outcomes of combined phacoemulsification and iStent inject W implantation in Japanese eyes with POAG. Methods This retrospective study included 24 eyes from 14 Japanese patients undergoing combined surgery between February 2021 and May 2022 at Chutoen General Medical Center. Eyes with prior glaucoma surgery (except laser trabeculoplasty) or secondary glaucoma were excluded. Intraocular pressure (IOP) and medication scores were recorded up to 36 months postoperatively. Changes from baseline were analyzed with the Wilcoxon signed-rank test. Results Mean IOP decreased from 16.71 ± 4.54 mmHg to 12.63 ± 2.59 mmHg at 36 months (p < 0.001), 24% reduction. Medication scores decreased from 3.17 ± 1.55 to 1.42 ± 1.10 (p < 0.001). At 36 months, out of 24 eyes, eight eyes (33.3%) were medication-free, and 14 eyes (58.3%) achieved ≥20% IOP reduction. No additional glaucoma surgeries were required. Complications were minimal, with transient hyphema in two eyes (8.3%) and transient IOP elevation at one week in two eyes (8.3%). Conclusion iStent inject W combined with phacoemulsification provided safe and sustained IOP and medication reduction over three years in Japanese eyes with POAG, supporting its use in NTG-predominant populations.

Indexed as

intraocular pressureistent inject wjapanese populationminimally invasive glaucoma surgery (migs)normal-tention glaucomaprimary open-angle glaucoma (poag)

Identifiers

PMID41262836
PMCPMC12624146

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.