Evidence map›Paper›PMID 41941025›Full record

ArticleJapanese journal of ophthalmology2026

Comparison of surgically induced astigmatism following PreserFlo MicroShunt implantation versus trabeculectomy in Japanese patients with glaucoma.

Yukako Ishiyama, Shiroaki Shirato, Makoto Aihara, Rei Sakata

Abstract readComparative Study
In one paragraph

Article in Japanese journal of ophthalmology, 2026. 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. Article
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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

4 authors.

Yukako IshiyamaDepartment of Ophthalmology, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Shiroaki ShiratoYotsuya Shirato Eye Clinic, Tokyo, Japan.
Makoto AiharaDepartment of Ophthalmology, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Rei SakataDepartment of Ophthalmology, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. reisakata-tky@umin.ac.jp.ORCID http://orcid.org/0000-0003-1411-1476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe compared the magnitude of surgically induced astigmatism (SIA) following PreserFlo MicroShunt (PMS) implantation versus conventional trabeculectomy (Trab), with both procedures being performed with mitomycin C (MMC). STUDY

designRetrospective cohort study

methodsWe included 113 eyes of 113 patients who underwent standalone PMS surgery and 78 eyes of 78 patients who underwent standalone Trab, all with no previous history of glaucoma surgery. Corneal astigmatism was measured preoperatively and at 3 months postoperatively by use of an automated keratometer. The mean SIA (M-SIA) and centroid SIA (C-SIA) were calculated by use of a dedicated vector analysis tool. Preoperative and postoperative intraocular pressure (IOP) and visual acuity (VA) were compared by use of paired t tests. The Mann-Whitney U test was used to compare the M-SIA between the groups.

resultsPostoperatively, the IOP decreased from 20.9 to 11.5 mm Hg in the PMS group and from 20.6 to 9.3 mm Hg in the Trab group (P <0.001 for both). The C-SIA demonstrated an astigmatic shift toward the site of tube insertion in the PMS group and toward the scleral flap location in the Trab group. The M-SIA was significantly lower in the eyes treated with PMS than in those treated with Trab in the superonasal quadrant, but not in the superotemporal site. The VA remained stable in the PMS group, whereas a significant decline was observed in the Trab group.

conclusionsThe PMS is an effective surgical option for reducing IOP while minimizing SIA at 3 months postoperatively. By better preserving visual function, the PMS may contribute to improved vision and overall patient satisfaction with the surgical outcomes.

Indexed as

AstigmatismGlaucomaIntraocular PressurePostoperative ComplicationsTrabeculectomyVisual AcuityAgedEast Asian PeopleFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedRetrospective StudiesIntraocular pressurePreserFlo MicroShuntSurgically induced astigmatismTrabeculectomyVisual acuity

Identifiers

PMID41941025
PMCPMC13452854

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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.