Evidence map›Paper›PMID 41893889›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Intravitreal plungerless injector device (IPLID) for anterior chamber paracentesis: a novel approach to aqueous humor sampling.

Juan B Yepez, Felipe A Murati, Igor Kozak, J Fernando Arevalo

Abstract read
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. 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.

Juan B YepezVitreoretinal Surgery Department, Eye Clinic, Maracaibo, Venezuela.
Felipe A MuratiHospital Sótero del Río, Santiago, Chile.
Igor KozakDepartment of Ophthalmology and Vision Science, University of Arizona, Tucson, AZ, USA.
J Fernando ArevaloRetina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Maumenee 752, Baltimore, MD, 21287, USA. arevalojf@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility and preliminary safety of a plungerless intravitreal injector device (IPLID) adapted for aqueous humor aspiration during anterior chamber paracentesis.

methodsIn this proof-of-concept pilot study, ten consecutive eyes undergoing diagnostic anterior chamber paracentesis with the IPLID were prospectively enrolled and compared with a retrospective cohort of ten eyes that underwent conventional syringe-based aspiration. Procedures were performed under slit-lamp visualization. Primary outcomes included feasibility and procedure duration. Secondary outcomes included aspirated volume, intraocular pressure (IOP) changes, wound integrity, patient discomfort (visual analogue scale), and surgeon-reported usability.

resultsAll procedures were successfully completed without intraoperative complications. The device achieved consistent aqueous humor aspiration (48 ± 5 µL) compared with greater variability using conventional methods (59 ± 17 µL). No anterior chamber instability or hypotony occurred. Wounds were self-sealing in all cases, whereas two control cases required bandage contact lenses. Procedure time was shorter and patient discomfort lower with the IPLID (p < 0.01). No adverse events were observed during one-week follow-up.

conclusionsThe plungerless intravitreal injector device appears to be a feasible and safe alternative for anterior chamber paracentesis, enabling controlled and reproducible aqueous humor sampling with improved procedural consistency and patient comfort. Larger prospective studies are warranted to confirm these findings and assess long-term safety.

Indexed as

Anterior ChamberAqueous HumorParacentesisAgedEquipment DesignFeasibility StudiesFemaleFollow-Up StudiesHumansIntraocular PressureIntravitreal InjectionsMaleMiddle AgedPilot ProjectsProspective StudiesRetrospective StudiesAnterior chamber paracentesisAqueous humor aspirationAqueous humor aspirationxAqueous humor samplingDiagnostic ophthalmologyIntravitreal injection deviceMinimally invasive ophthalmic proceduresOphthalmic surgical devicesPlungerless injector

Identifiers

What Socratic holds

Textmetadata
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.