Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis
单位:[1]Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China临床科室眼科眼科首都医科大学附属北京友谊医院[2]Clinical Epidemiology and EBM Unit, National Clinical Research Center for Digestive Disease, Beijing, China[3]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China医技科室影像中心放射科首都医科大学附属北京友谊医院
Purpose Pars plana vitrectomy is the gold standard for the treatment of idiopathic macular hole. Several chromovitrectomy dyes have been used to improve the visualization of the internal limiting membrane (ILM), including indocyanine green, trypan blue (TB), brilliant blue G (BBG), and triamcinolone acetonide (TA). We conducted a network meta-analysis (NMA) to establish the optimum concentration of chromovitrectomy dye-assisted ILM peeling for IMH. Methods We searched PubMed, Embase, and Cochrane Library for relevant studies before January 2020. We performed a random-effects NMA using STATA version 15.1 to assess mean difference and odds ratios with 95% confidence intervals. Results We identified twelve retrospective trails and five randomized controlled trials (RCTs), comprising 1 492 patients of IMH on stage II-IV for ILM peeling. The results of IMH closure rate show that the effect of ILM peeling without dye was better than 0.25% ICG, the effects of ILM peeling with 0.5% ICG or TA were better than without dye, and the effects of ILM peeling with 0.05% BBG, 0.15% TB, 0.5% ICG or 0.05% ICG were better than 0.25% ICG. Ranking probability analysis shows that the rates of IMH closure after ILM peeling with 0.15% TB or 0.05% BBG were better than nine other concentrations of chromovitrectomy dyes. Conclusion The 0.15% TB and 0.05% BBG were recommended as the better efficient treatment-assisted ILM peeling for IMH closure. For retina specialists who prefer to use ICG to assist ILM peeling, 0.05% ICG may be a good choice. However, high-quality large-scale RCTs are recommended to confirm the NMA results.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81870686]; Capital's Funds for Health Improvement and Research [2018-1-2021]; Natural Science Foundation of Beijing MunicipalBeijing Natural Science Foundation [7184201]; Seed Project from Beijing Friendship Hospital and Capital Medical University [YYZZ2017B06]
第一作者单位:[1]Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
通讯作者:
推荐引用方式(GB/T 7714):
Li Shan-Shan,Li Min,You Ran,et al.Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis[J].INTERNATIONAL OPHTHALMOLOGY.2021,41(3):1129-1140.doi:10.1007/s10792-020-01656-2.
APA:
Li, Shan-Shan,Li, Min,You, Ran,Wang, Hui-Hui,Zhao, Lu...&Chen, Xi.(2021).Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis.INTERNATIONAL OPHTHALMOLOGY,41,(3)
MLA:
Li, Shan-Shan,et al."Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis".INTERNATIONAL OPHTHALMOLOGY 41..3(2021):1129-1140