Evidence map›Paper›PMID 41886138›Full record

ArticleInternational ophthalmology2026

Intravitreal sustained-release dexamethasone implant for the treatment of postoperative cystoid macular edema following vitrectomy.

Elisa Huynh, Argyrios Chronopoulos, Lucrezia Langbein, Lars-Olof Hattenbach

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Article in International ophthalmology, 2026. 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

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Elisa HuynhDepartment of Ophthalmology, Ludwigshafen City Hospital, Bremserstraße 79, 67063, Ludwigshafen Am Rhein, Germany. elisahuynh@t-online.de.ORCID http://orcid.org/0009-0005-1362-401X
Argyrios ChronopoulosDepartment of Ophthalmology, Ludwigshafen City Hospital, Bremserstraße 79, 67063, Ludwigshafen Am Rhein, Germany.ORCID http://orcid.org/0000-0002-1135-4360
Lucrezia LangbeinDepartment of Ophthalmology, Ludwigshafen City Hospital, Bremserstraße 79, 67063, Ludwigshafen Am Rhein, Germany.
Lars-Olof HattenbachDepartment of Ophthalmology, Ludwigshafen City Hospital, Bremserstraße 79, 67063, Ludwigshafen Am Rhein, Germany.ORCID http://orcid.org/0000-0002-5275-8118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPrevious findings have demonstrated that intravitreal sustained-release dexamethasone (DEX) implants improve functional and anatomical outcomes in patients with cystoid macular edema (CME) following cataract surgery; however, data on the influence of different surgical indications remain limited. This study aims to evaluate the efficacy of DEX implants in patients with persistent postoperative CME following vitrectomy, and to assess differences in treatment response regarding surgical indication, phakic status, and prior treatment received before DEX.

methodsIn this single-center study, we retrospectively reviewed data from 57 patients (57 eyes) who received a DEX implant for persistent postoperative CME following vitrectomy; main outcome measures were change in best corrected visual acuity (BCVA) and central retinal thickness (CRT). We then measured the effect of treatment outcomes across subgroups of patients according to surgical indication (rhegmatogenous retinal detachment vs. epiretinal membrane), phakic status, and prior receipt of subtenon triamcinolone.

resultsPatient eyes receiving a DEX implant achieved a significant improvement in both functional and anatomical outcomes: BCVA gain, 0.53 to 0.47 logMAR (p = 0.0180); CRT reduction, 453.5 µm to 381.6 µm (p < 0.0001). The mean number of DEX implants received was 1.74, with no significant differences observed between patient subgroups. Subgroup comparisons did not show any significant impacts on BCVA or CRT by either surgical indication or type of surgery.

conclusionSustained-release DEX implants provided immediate and lasting functional and anatomical benefits in patients with persistent postoperative CME. Outcomes such as the required number of DEX implants or treatment response were not significantly impacted by subgroup factors.

Indexed as

DexamethasoneMacular EdemaPostoperative ComplicationsVisual AcuityVitrectomyAgedDelayed-Action PreparationsDrug ImplantsFemaleFollow-Up StudiesGlucocorticoidsHumansIntravitreal InjectionsMaleMiddle AgedRetrospective StudiesDelayed-Action PreparationsDexamethasoneDrug ImplantsGlucocorticoidsEpiretinal membrane peelingIntravitreal dexamethasonePostoperative macular edemaRhegmatogenous retinal detachmentVitrectomy

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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 Socratic graph.