Evidence mapPaperPMID 41462991Full record

ReviewBiomedicines2025

Blood Cell-Derived Inflammatory Indices in Diabetic Macular Edema: Clinical Significance and Prognostic Relevance.

Chiyu Lin, Weiqing Ye, Suyao Wu, Zijing Huang

Abstract readReview
In one paragraph

Review in Biomedicines, 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

4 authors.

Chiyu LinJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China.
Weiqing YeJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China.
Suyao WuJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China.
Zijing HuangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China.ORCID 0000-0003-2909-2538

Funding

National Natural Science Foundation of China 82471082Natural Science Foundation of Guangdong Province, China 2024A1515012992Special Support Plan in Guangdong Province for Young Top Talents in Science and Technology Innovation N/A
6 · The paper itself

Abstract

Diabetic macular edema (DME) is a leading cause of vision loss in patients with diabetes. While VEGF-driven vascular permeability is central to its pathogenesis, inflammation plays a complementary and pivotal role in disease progression, morphological heterogeneity, and treatment response. Readily available blood cell-derived inflammatory indices, such as the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), monocyte-to-high-density lipoprotein cholesterol ratio (MHR), monocyte-to-lymphocyte ratio (MLR), platelet-to-neutrophil ratio (PNR), and pan-immune-inflammation value (PIV), as well as platelet measures (MPV, PDW), have been investigated as low-cost markers of systemic inflammation in DME. Specifically, comparative studies have reported that an NLR ≥ 2.26 can effectively distinguish DME from non-DME with 85% sensitivity and 74% specificity. Elevated NLR is more associated with serous retinal detachment. Moreover, a baseline NLR ≤ 2.32 has been linked to a better anatomical response to treatment. This narrative review summarizes the evidence regarding these biomarkers' diagnostic and prognostic utility and highlights their associations with OCT morphotypes and anti-VEGF responsiveness. We propose that multi-marker panels integrated with OCT features may enhance risk stratification and help personalize therapy, but emphasize that prospective, multi-center validation and harmonized thresholds are required before routine clinical application.

Indexed as

biomarkersdiabetic macular edemainflammationneutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratioprognosissystemic immune-inflammation index

Identifiers

PMID41462991
PMCPMC12730579

What Socratic holds

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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.