Evidence map›Paper›PMID 41063972›Full record

ArticleTherapeutic advances in ophthalmology

Combined phacovitrectomy for retinal detachment and cataract-macular attachment and visual fixation as predictors of postoperative refractive error.

Anna Hillenmayer, Christian M Wertheimer, Susanna F Koenig, Lennart M Hartmann, Tim Freisenich, Dorian Begaj, Armin Wolf, Efstathios Vounotrypidis

Abstract read
In one paragraph

Article in Therapeutic advances in ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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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

8 authors.

Anna HillenmayerDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstr. 43, Ulm 89075, Germany.ORCID https://orcid.org/0000-0001-9433-3292
Christian M WertheimerDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Susanna F KoenigDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Lennart M HartmannDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Tim FreisenichDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Dorian BegajDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Armin WolfDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.
Efstathios VounotrypidisDepartment of Ophthalmology, University Hospital Ulm, Ulm, Germany.ORCID https://orcid.org/0000-0002-9833-2200

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objectives: To evaluate the effect of macular status and fixation, as determined by chord alpha, on refractive outcomes following combined phacovitrectomy for retinal detachment. Although an optical biometer can be used to calculate the required dioptric power of the intraocular lens, loss of central fixation can introduce errors into the biometric parameters. Design: Retrospective single-center observational study. Methods: Patients with retinal detachment and cataract who underwent combined phacoemulsification and vitrectomy following swept-source optical coherence tomography-based biometry (ZEISS IOLMaster 700) were included, and their preoperative macular status, chord-alpha length, and resulting refractive error at the final follow-up appointment were recorded. Results: A total of 305 eyes were evaluated, of which 150 had macular detachment. There was a statistically significantly higher rate of refractive error in eyes with macular detachment compared to eyes without ( Conclusions: Compared to non-macular involvement, macular detachment led to worse refractive outcomes in combined phacovitrectomy, and chord alpha, as a marker for central fixation, might serve as an explanation. Further research is needed to determine whether combined phacoemulsification and vitrectomy should be performed in patients with macular detachment.

Indexed as

combined phacovitrectomyfixation lossmacular detachmentrefractive error

Identifiers

PMID41063972
PMCPMC12501455

What Socratic holds

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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 Socratic graph.