Evidence map›Paper›PMID 41999418›Full record

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

Role of autologous platelet-rich plasma for recurrent or refractory macular hole in the era of various flap techniques: a meta-analysis.

Chungwoon Kim, Kyung Ho Lee, Eunzee Lee, Suji Yeo, Ji Hun Song, Hae Rang Kim, Yoo-Ri Chung

Abstract readMeta-AnalysisReview
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In one paragraph

Synthesis 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. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Chungwoon Kim *Department of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea.
Kyung Ho Lee *Eye Love Clinic, Hwasung, Korea.
Eunzee LeeDepartment of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea.
Suji YeoDepartment of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea.
Ji Hun SongDepartment of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea.
Hae Rang KimDepartment of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea.
Yoo-Ri ChungDepartment of Ophthalmology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 16499, Korea. cyr216@hanmail.net.ORCID http://orcid.org/0000-0002-6871-6721

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effects of autologous platelet-rich plasma (PRP) application on recurrent or refractory full-thickness macular hole (FTMH) in patients who had undergone vitrectomy and internal limiting membrane (ILM) peeling.

methodsDatabases including PubMed, EMBASE, and Cochrane Library were searched on April 10, 2025. Studies that investigated the effects of autologous PRP or whole blood application to treat recurrent or refractory FTMH were included. The primary outcome was the closure rate with the procedure, and a meta-analysis of proportions was performed to estimate pooled closure rates.

resultsAmong preliminary identification of 222 studies, 10 case series using autologous PRP only and three studies using autologous PRP/whole blood and additional flap or graft (retina, lens capsule, amniotic membrane, or residual ILM) were included in the meta-analysis. The overall pooled closure rate with autologous PRP application was 85% (95 confidence interval [CI]: 75-93%), while the additional use of a flap or graft led to an 87% closure rate (95% CI: 64-100%) in cases presenting with recurrent or refractory FTMH. There were no significant differences in closure rate of recurrent or refractory FTMH between groups (p = 0.820). No adverse effects were reported regarding the use of autologous PRP or whole blood application.

conclusionThe use of autologous PRP with or without additional flaps was as effective to achieve anatomical closure of recurrent or refractory FTMH, without the need for the concurrent flap or graft techniques.

Indexed as

Platelet-Rich PlasmaRetinal PerforationsSurgical FlapsVisual AcuityVitrectomyBlood Transfusion, AutologousHumansRecurrenceAutologous platelet-rich plasmaMacular holeMeta-analysisRecurrentRefractory

Identifiers

What Socratic holds

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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.