Evidence map›Paper›PMID 42746469›Full record

ReviewOchsner journal2026

Efficacy and Safety of the iStent infinite Trabecular Micro-Bypass Device for Glaucoma: A Systematic Review and Meta-Analysis.

Ryan Fischer, Christopher Duncombe, Chinwendu Okolie, Lily Caglianone

Abstract readReview
In one paragraph

Review in Ochsner journal, 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

4 authors.

Ryan FischerSt. John Fisher University, Rochester, NY.
Christopher DuncombeInternational Association of Providers of AIDS Care, Washington, DC.
Chinwendu OkolieIndependent Data Scientist, Enugu, Nigeria.
Lily CaglianoneRush University, Chicago, IL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The iStent infinite (Glaukos Corporation) is a third-generation trabecular micro-bypass device approved for stand-alone use in patients with inadequately controlled open-angle glaucoma, but overall efficacy and safety estimates have not been quantitatively synthesized via meta-analysis. Our objective was to evaluate the 12-month efficacy and safety of iStent infinite device implantation by examining intraocular pressure reduction and glaucoma medication reduction. Methods: We conducted a systematic review and meta-analysis per the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 guidelines after registering the review protocol with the International Prospective Register of Systematic Reviews (PROSPERO). We searched PubMed/MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov from inception through November 2025 for studies reporting 12-month outcomes after iStent infinite device implantation (stand-alone or combined with phacoemulsification). Pooled mean changes in intraocular pressure and medications were calculated, heterogeneity was assessed with I Results: Three nonrandomized studies comprising 199 eyes with 12-month follow-up were included. The pooled mean intraocular pressure reduction at 12 months was 4.48 mm Hg (95% CI 3.04 to 5.92; Conclusion: iStent infinite device implantation was associated with clinically meaningful 12-month reductions in intraocular pressure, a modest reduction in medication burden, and a favorable short-term safety profile.

Indexed as

Glaucomaglaucoma drainage implantsglaucoma–open-angleintraocular pressuremicrosurgeryminimally invasive surgical proceduresophthalmologic surgical proceduresprosthesis implantation

Identifiers

PMID42746469
PMCPMC13577642

What OpenQuestion holds

Textmetadata
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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.