Evidence map›Paper›PMID 40810816›Full record

Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Radiation-induced maculopathy and fluocinolone acetonide implant.

Jules Fricker, Sacha Nahon-Esteve, Sarah Tick, Maxime Nhari, Géraldine Chotard, Anh-Minh Nguyen, Stéphanie Baillif, Laurent Kodjikian, Thibaud Mathis

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 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

9 authors.

Jules FrickerService d'Ophtalmologie, Hôpital Universitaire de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, Lyon, 69317, France.
Sacha Nahon-EsteveService d'Ophtalmologie, Hôpital Pasteur 2, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, 06000, France.
Sarah TickService Oncopole, Hôpital National de la Vision des 15-20, Paris, 75571, France.
Maxime NhariService d'Ophtalmologie, Hôpital Universitaire de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, Lyon, 69317, France.
Géraldine ChotardService Oncopole, Hôpital National de la Vision des 15-20, Paris, 75571, France.
Anh-Minh NguyenService d'Ophtalmologie, Hôpital Universitaire de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, Lyon, 69317, France.
Stéphanie BaillifService d'Ophtalmologie, Hôpital Pasteur 2, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, 06000, France.
Laurent KodjikianService d'Ophtalmologie, Hôpital Universitaire de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, Lyon, 69317, France.
Thibaud MathisService d'Ophtalmologie, Hôpital Universitaire de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, Lyon, 69317, France. thibaud.mathis@chu-lyon.fr.ORCID http://orcid.org/0000-0002-1418-1872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the effectiveness of fluocinolone acetonide (FAc) implants in managing radiation maculopathy, a complication of ocular irradiation. The primary outcomes were the change in best-corrected visual acuity (BCVA) and central foveal thickness (CFT), and the impact on therapeutic burden and intraocular pressure (IOP).

methodsThis was a retrospective, multicenter, observational study conducted across three French oncology-ophthalmology reference centers. Twelve eyes of twelve patients with radiation maculopathy following ocular irradiation for uveal melanoma were included. All patients received at least one injection of the FAc implant between February 2021 and July 2023. Data on tumor characteristics, lens status, BCVA, CFT, IOP, and SD-OCT findings were collected. The number and types of intravitreal injections before and after FAc implantation were analyzed.

resultsMedian final BCVA improved significantly to 72.5 ETDRS letters (IQR 57.5-76.2) (Snellen equivalent: 20/32) (p = 0.03). Median final CFT decreased significantly to 328.0 μm (IQR 286.0-405.0) (p = 0.04). The therapeutic burden was significantly reduced, with the mean injection interval increasing from 4.2 to 6.5 months (p = 0.03) and the annual number of injections decreasing from 3.2 to 0.2 (p < 0.001). IOP significantly increased during follow-up, peaking at 21.5 mmHg (IQR 18-25) (p < 0.001) but returned to the baseline of 13 mmHg after the treatment adjustments made at the final visit (IQR 11.5-17.2) (p = 0.20).

conclusionFAc implant improved BCVA and significantly reduced the therapeutic burden in patients with radiation maculopathy. However, careful IOP monitoring is required to effectively manage intraocular hypertension.

Indexed as

Fluocinolone AcetonideMacula LuteaRadiation InjuriesRetinal DiseasesVisual AcuityAgedDrug ImplantsFemaleFluorescein AngiographyFollow-Up StudiesGlucocorticoidsHumansIntraocular PressureIntravitreal InjectionsMaleMelanomaDrug ImplantsFluocinolone AcetonideGlucocorticoidsFluocinolone acetonide implantMacular edemaOcular tumorRadiation-induced maculopathy

Identifiers

PMID40810816
PMCPMC12675579

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.