Evidence mapPaperPMID 28490797Full record

GuidelineEye (London, England)2017

Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease.

R Gale, P H Scanlon, M Evans, F Ghanchi, Y Yang, G Silvestri, M Freeman, A Maisey, J Napier

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Eye (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
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  10. Review
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  17. Optical Quality and Intraocular Scattering in the Diabetic Eye without Diabetic Retinopathy.Optometry and vision science : official publication of the American Academy of Optometry · 2019
    Article
  18. Article
  19. The War on Diabetic Retinopathy: Where Are We Now?Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)
    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

9 authors at 6 institutions in 1 country.

R GaleThe Action on DMO group, UK.
P H ScanlonThe Action on DMO group, UK.
M EvansThe Action on DMO group, UK.
F GhanchiThe Action on DMO group, UK.
Y YangThe Action on DMO group, UK.
G SilvestriThe Action on DMO group, UK.
M FreemanThe Action on DMO group, UK.
A MaiseyThe Action on DMO group, UK.
J NapierThe Action on DMO group, UK.
Action for ME · GBBelfast Health and Social Care Trust · GBBradford Teaching Hospitals NHS Foundation Trust · GBCardiff and Vale University Health Board · GBThe Royal Wolverhampton NHS Trust · GBYork Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper identifies best practice recommendations for managing diabetes and sight-threatening diabetic eye disease. The authors provide an update for ophthalmologists and allied healthcare professionals on key aspects of diabetes management, supported by a review of the pertinent literature, and recommend practice principles for optimal patient management in treating visual impairment due to diabetic eye disease. In people with diabetes, early optimal glycaemic control reduces the long-term risk of both microvascular and macrovascular complications. The authors propose more can and should be done to maximise metabolic control, promote appropriate behavioural modifications and encourage timely treatment intensification when indicated to ameliorate diabetes-related complications. All people with diabetes should be screened for sight-threatening diabetic retinopathy promptly and regularly. It is shown that attitudes towards treatment adherence in diabetic macular oedema appear to mirror patients' views and health behaviours towards the management of their own diabetes. Awareness of diabetic macular oedema remains low among people with diabetes, who need access to education early in their disease about how to manage their diabetes to delay progression and possibly avoid eye-related complications. Ophthalmologists and allied healthcare professionals play a vital role in multidisciplinary diabetes management and establishment of dedicated diabetic macular oedema clinics is proposed. A broader understanding of the role of the diabetes specialist nurse may strengthen the case for comprehensive integrated care in ophthalmic practice. The recommendations are based on round table presentations and discussions held in London, UK, September 2016.

Indexed as

Laser CoagulationVitrectomyAngiogenesis InhibitorsBlood GlucoseDiabetes MellitusDiabetic RetinopathyDiagnostic Techniques, OphthalmologicalDisease ManagementGlucocorticoidsGlycated HemoglobinGlycemic IndexHumansMacular EdemaNurse SpecialistsPatient-Centered CarePersons with Visual DisabilitiesAngiogenesis InhibitorsBlood GlucoseGlucocorticoidsGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID28490797
PMCPMC5437340
OpenAlexW2613166706

What Socratic 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 Socratic graph.