was read the article
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(b) RPE alterations with photoreceptor loss in those areas (LE). (c) hypo-autofluorescent dots in posterior pole and some hyper-autofluorescent dots in the temporal zone (LE). (d) dotted pattern in the «in-face» mode (LE). (e) RE alteration-free ocular fundus. (f) autofluorescence image compatible with normality (RE). (g) small epiretinal membrane (RE).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Campos Polo, D. García Guisado, C. Rubio Sánchez, P. Bueno García, N.T. Márquez Ivacevich" "autores" => array:5 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Campos Polo" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "García Guisado" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Rubio Sánchez" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Bueno García" ] 4 => array:2 [ "nombre" => "N.T." 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Fau, S. Nabzo, V. Nasabun" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Fau" "email" => array:1 [ 0 => "chfauf@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Nabzo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Nasabun" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Fundación Oftalmológica 2020, Iberoamerican Cochrane Network, Santiago, Chile" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Andrés Bello, Santiago, Chile" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario al artículo «Vitrectomía diagnóstica: serie de casos en un centro de referencia»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the previous issue, Dr. Alba-Linero et al. published the article titled «Diagnostic vitrectomy: a case series in a single referral center»<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>, which we have read and would like to share some comments, shown below.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The article exhibits some inconsistencies: 1) the methodology section states that patients had a diagnostic of «panuveitis of unknown origin» although the description of results indicates that only 16 eyes had anterior chamber inflammation and 31 eyes had vitreous haze; 2) the age description states that the minimum age was 44 years, although the table in page 532 indicates that the patient with the lowest age was 39; 3) figure 1 indicates that the images correspond to an African race male patient age 42 but the table in page 532 does not include any patient with these characteristics; 4) the description of comorbidities is not clear in relation to the table of page 531; 5) the amount of cytology, PCR and culture techniques described in the text and in the table of page 534 do not match those reported in the table of page 532, which shows a lower number; 6) the table of page 534 indicates 3 eyes with a diagnostic of amyloidosis although the table of page 532 indicates 4 patients with said disease, i.e., patients number 2, 13 and 29, while the table of page 524 indicates 22 neoplasia cases and the table on page 532 indicates 21.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the statistical analysis, mean visual acuity was 20/40, although this result excludes 8 patients with visual acuity under 20/200, and this is a problem because there is no reason for this and it gives rise to a biased estimate. The article does not make a clear comparison between conditions before and after vitrectomy; apparently, some improvements in inflammation could have occurred but pressure could have increased. In addition, referring to visual acuity the article states that «most of visual deterioration was due to vitreous occupation», but it is not possible to determine if this occurred due to the evolution of the disease or as the result of vitrectomy. The author does not explain the reasons why it was not possible to establish the cause of the disease in a patient with bilateral disease (14) and, taking into account that the sample size of the study was small, this patient had an important impact in overall results (5.41%).</p><p id="par0020" class="elsevierStylePara elsevierViewall">Finally, the author commits a recurring statistical error. Lee et al.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> estimate that this error is committed by 19% of articles, and it consists in analyzing eyes instead of patients, i.e., 37 eyes of 29 patients. Statistically, this generates an inter-eye correlation and usually statistics are based on the assumption that the values of observations are independent in each measured eye. This leads to biased estimators. For this reason, we decided to input the data of page 532 in a Stata 14.2 5 sheet and reanalyze data.</p><p id="par0025" class="elsevierStylePara elsevierViewall">In what concerns the above-mentioned errors, the age we obtained was 62.72 years ± 13.92 standard deviation (range: 39–91 years). The diagnostic results were calculated on the basis of patients instead of eyes (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>), producing an infectious cause in 9 patients (27.59%), an inflammatory cause in 4 patients (13.79%), a neoplastic cause in 16 patients (55.17%) and unknown in one patient (3.45%). When comparing these calculations with those of the original article, there is an increase in the representation of infectious and inflammatory causes and a reduction in the neoplastic and unknown causes. This was foreseeable due to the inter-eye correlation because the data obtained from both eyes corresponds to 8 patients (27.59%). In addition, the authors state in the original article that the etiological diagnostic was obtained in 96.6% of patients, which is a higher value than that reported. However, it is not clear whether these results are applicable to panuveitis or vitritis. The patient with the unknown diagnostic has a lower impact on results, which goes down from 5.41 to 3.45%. Even so, some explanation about the case is necessary.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Carrying out a subgroup analysis (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>) with patients having unilateral and bilateral disease, 52.38% of unilateral cases had a neoplastic disease whereas in bilateral patients this percentage increases to 62.5%. Likewise, in unilateral cases vitrectomy seems to be a main contributor to the diagnostic but in 75% of bilateral cases a diagnostic was not obtained or it was neoplasia. Perhaps it would have been better to obtain said diagnostic in a different manner. In addition, in the discussion the author indicates that visual prognosis was positive 12 months after vitrectomy but that “most visual impairment was due to the occupation of the vitreous”. This could be due to dissemination of the disease in neoplastic cases, while visual improvements could be due to improved treatments derived from diagnostic precision in the infectious and inflammatory cases.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have not received funding for this paper.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fau C, Nabzo S, Nasabun V. Comentario al artículo «Vitrectomía diagnóstica: serie de casos en un centro de referencia». Arch Soc Esp Oftalmol. 2020;95:103–104.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Unilateral \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Bilateral \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Infectious \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33,3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12,5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">27,59 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Inflammatory \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">14,3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12,5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13,79 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; 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entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">29 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2226149.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diagnostic results.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vitrectomía diagnóstica: serie de casos en un centro de referencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Alba-Linero" 1 => "G. Espinosa Barberi" 2 => "V. Lloren Ç" 3 => "A. Adán" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.oftal.2019.07.017" "Revista" => array:6 [ "tituloSerie" => "Arch Soc Esp Oftalmol" "fecha" => "2019" "volumen" => "94" "paginaInicial" => "529" "paginaFinal" => "535" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31606240" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eyes or subjects: are ophthalmic randomized controlled trials properly designed and analyzed?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C.F. Lee" 1 => "A.C.O. Cheng" 2 => "D.Y.T. 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