Evidence map›Paper›PMID 42455251›Full record

ReviewOphthalmology and therapy2026

Nonpenetrating Deep Sclerectomy versus Conventional Surgery in Primary Congenital Glaucoma: a Systematic Review and Meta-analysis.

Abdullah M Khan, Ibrahim AlJadaan, Abdullah M Al-Omair, Dalal M A Motabagani, Ahmed Mousa, Gorka Sesma

Abstract readReview
In one paragraph

Review in Ophthalmology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Abdullah M Khan *Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital and Research Center, West Building, 2nd Floor, 12329, Riyadh, Saudi Arabia.
Ibrahim AlJadaanGlaucoma Division, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Abdullah M Al-OmairCollege of Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Dalal M A MotabaganiCollege of Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Ahmed MousaResearch Department, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Gorka Sesma *Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital and Research Center, West Building, 2nd Floor, 12329, Riyadh, Saudi Arabia. gsesma@kkesh.med.sa.ORCID http://orcid.org/0000-0002-4320-448X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary congenital glaucoma (PCG) is a leading cause of irreversible childhood blindness, with elevated prevalence in consanguineous populations of the Middle East and Central Asia. Nonpenetrating deep sclerectomy (NPDS) is theoretically safer than conventional penetrating surgery, yet comparative evidence lacks systematic synthesis.

methodsWe systematically searched seven databases through December 2025. Eligible studies compared NPDS with conventional surgery in children with PCG aged under 4 years with ≥ 6 months follow-up. Two reviewers independently screened and extracted data; risk of bias was assessed with ROBINS-I and RoB 2.0. A random-effects meta-analysis [REML with Hartung-Knapp-Sidik-Jonkman (HKSJ) correction] was performed.

resultsFive studies [seven arms, 356 eyes; one randomized controlled trial (RCT), four observational] were included. Mean intraocular pressure (IOP) reduction was 10.34 mmHg (HKSJ 95% CI 7.54-13.14; 95% PI: 2.25-18.43 mmHg; I

conclusionsEvidence comparing NPDS and conventional surgery in PCG remains limited. Surgery achieved a mean IOP reduction of 10.34 mmHg (HKSJ 95% CI 7.54-13.14), though estimates showed substantial heterogeneity (I

trial registrationPROSPERO registration: CRD420251121650.

Indexed as

CYP1B1Intraocular pressureMeta-analysisNonpenetrating deep sclerectomyPediatric glaucomaPrimary congenital glaucomaTrabeculectomyTrabeculotomy

Identifiers

PMID42455251
PMCPMC13518635

What OpenQuestion holds

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Registered trials

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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.