Evidence map›Paper›PMID 41318418›Full record

ArticleBMC ophthalmology2025

Customized sclerotomy improves macular access in Chinese eyes with axial length ≥ 28 mm.

Jie-Xi Li, Teng-Teng Yao, Cheng Liu, Ya-Ni Wang, Shuai Yang, Zhao-Yang Wang

Abstract read
In one paragraph

Article in BMC ophthalmology, 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.

Jie-Xi Li *Department of Ophthalmology, Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Teng-Teng Yao *Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Cheng LiuDepartment of Ophthalmology, Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Ya-Ni WangDepartment of Ophthalmology, Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Shuai YangDepartment of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. shineyoung2007@hotmail.com.
Zhao-Yang WangDepartment of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. zhaokekewzy@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to explore the relationship between axial length and ciliary body length, along with the potential anatomical variability among different races. Based on this, a new positioning for sclera incision in pars plana vitrectomy for patients with axial length ≥ 28 mm was proposed and evaluated for feasibility and safety.

methods83 Chinese patients were enrolled. Pre-operative subjective refraction and axial length were obtained. The ciliary body length was measured intraoperatively. Data of Caucasian population from a published paper are also reviewed and analyzed. From all the enrolled Chinese patients, we selected 7 patients with axial length ≥ 28 mm and who needed vitrectomy for macular diseases. New technique was used to make scleral incisions, and they were followed up for at least 12 months.

resultsThe temporal and nasal ciliary body length have significantly positive correlations with axial length (p < 0.001, r = 0.386; p = 0.001, r = 0.357). The range of temporal ciliary body length and nasal ciliary body length in Chinese with axial length ≥ 28 mm are 5.5-10.5 mm and 5.5-9.5 mm. The mean, range, variance and standard deviations of ciliary body length in Chinese are greater than Caucasian with axial length ≥ 28 mm (p = 0.00034; p = 0.04996). No surgical-related complications occurred in the 7 patients with adjusted incision sites.

conclusionThere is a significant positive correlation between axial length and ciliary body length in nasal and temporal quadrant. Compared to Caucasians, Chinese population with axial length ≥ 28 mm exhibit higher variability in the nasal and temporal ciliary body length. Therefore, positioning the scleral incision 2-3 mm anterior to the ora serrata facilitates safer access of surgical instruments to the macular. This novel technique is not only simple but also offers improved cost-effectiveness.

trial registrationThis study has been registered on the Chinese Clinical Trial Registry website, registration number: ChiCTR1800015732 (registration date: 17th April, 2018).

Indexed as

Axial Length, EyeCiliary BodyRetinal DiseasesScleraSclerostomyVitrectomyAdultAgedChinaEast Asian PeopleFemaleHumansMaleMiddle AgedRetrospective StudiesVisual AcuityAxial lengthCiliary body lengthMacular diseaseSclerotomy siteVariability

Identifiers

PMID41318418
PMCPMC12690858

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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.