Evidence map›Paper›PMID 17123615›Full record

Trial reportOphthalmology2007

Relationship between optical coherence tomography-measured central retinal thickness and visual acuity in diabetic macular edema.

Diabetic Retinopathy Clinical Research Network, David J Browning, Adam R Glassman, Lloyd Paul Aiello, Roy W Beck, David M Brown, Donald S Fong, Neil M Bressler, Ronald P Danis, James L Kinyoun and 8 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00071773 (A Pilot Study of Laser Photocoagulation for Diabetic Macular Edema), which is not on this map. Cited by 253 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
253citing papers in PubMed, 3 pooled it
15.9field-weighted citation impact, top 1% of its field
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.

NCT00071773 phase2completednot on this map

A Pilot Study of Laser Photocoagulation for Diabetic Macular Edema

TypeinterventionalSponsorJaeb Center for Health ResearchRan2003 to 2008Enrolled263ConditionsDiabetic Macular EdemaArmsmodified-ETDRS photocoagulation, Mild Macular Grid photocoagulation
3 · Its place in the literature

Who cites it

253 citing papers in PubMed, 3 syntheses or guidelines pooled it, 603 citations in OpenAlex.

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  4. Hard exudates in diabetic macular edema after intravitreal anti-VEGF therapy: a post-hoc analysis of the DRCR protocol T trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  7. Topical ketorolac as an adjunctive treatment with intravitreal bevacizumab in the management of diabetic macular edema: A double-masked placebo-controlled randomized clinical trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
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  8. Association between early and late response in eyes with central or hemiretinal vein occlusion treated with anti-VEGF agents : SCORE2 report 12: secondary analysis of the SCORE2 clinical trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
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193 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 1 institution in 1 country.

Diabetic Retinopathy Clinical Research NetworkJaeb Center for Health Research, 15310 Amberly Drive, Suite 350, Tampa, FL 33647, USA. drcrnet@jaeb.org
David J Browning
Adam R Glassman
Lloyd Paul Aiello
Roy W Beck
David M Brown
Donald S Fong
Neil M Bressler
Ronald P Danis
James L Kinyoun
Quan Dong Nguyen
Abdhish R Bhavsar
Justin Gottlieb
Dante J Pieramici
Michael E Rauser
Rajendra S Apte
Jennifer I Lim
Päivi H Miskala
Jaeb Center for Health Research · US

Funding

DIABETIC RETINOPATHY CLINICAL RESEARCH NETWORK COORDINATING CENTERU10EY014231 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI GLASSMAN, ADAM R · 2002 to 2018
$91.2M
DRCR Retina NetworkUG1EY014231 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI Adam R Glassman, DANIEL F MARTIN · 2019 to 2026
$75.4M
Diabetic Retinopathy Clinical Research NetworkU10EY014229 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI DANIS, RONALD · 2002 to 2008
$2.4M
Diabetic Retinopathy Clinical Research Network Chair GrantU10EY023207 · NEI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI JAMPOL, LEE M · 2014 to 2018
$1.8M
Study Chair Core Center:DME Clinical Research NetworkU10EY014269 · NEI · JOSLIN DIABETES CENTER · PI AIELLO, LLOYD P · 2002 to 2005
$1.1M
NEI NIH HHS EY14229NEI NIH HHS EY14231NEI NIH HHS EY14269NEI NIH HHS U10 EY014229NEI NIH HHS U10 EY014231NEI NIH HHS U10 EY014269NEI NIH HHS U10 EY023207NEI NIH HHS UG1 EY014231
6 · The paper itself

Abstract

objectiveTo compare optical coherence tomography (OCT)-measured retinal thickness and visual acuity in eyes with diabetic macular edema (DME) both before and after macular laser photocoagulation.

designCross-sectional and longitudinal study.

participantsTwo hundred ten patients (251 eyes) with DME enrolled in a randomized clinical trial of laser techniques.

methodsRetinal thickness was measured with OCT and visual acuity was measured with the electronic Early Treatment of Diabetic Retinopathy procedure.

main outcome measuresOptical coherence tomography-measured center point thickness and visual acuity.

resultsThe correlation coefficients for visual acuity versus OCT center point thickness were 0.52 at baseline and 0.49, 0.36, and 0.38 at 3.5, 8, and 12 months after laser photocoagulation. The slope of the best fit line to the baseline data was approximately 4.4 letters (95% confidence interval, 3.5-5.3) of better of visual acuity for every 100-mum decrease in center point thickness at baseline with no important difference at follow-up visits. Approximately one third of the variation in visual acuity could be predicted by a linear regression model that incorporated OCT center point thickness, age, hemoglobin A1C, and severity of fluorescein leakage. The correlation between change in visual acuity and change in OCT center point thickening 3.5 months after laser treatment was 0.44, with no important difference at the other follow-up times. A subset of eyes showed paradoxical improvements in visual acuity with increased center point thickening (7%-17% at the 3 time points) or paradoxical worsening of visual acuity with a decrease in center point thickening (18%-26% at the 3 time points).

conclusionsThere is modest correlation between OCT-measured center point thickness and visual acuity, and modest correlation of changes in retinal thickening and visual acuity after focal laser treatment for DME. However, a wide range of visual acuity may be observed for a given degree of retinal edema. Thus, although OCT measurements of retinal thickness represent an important tool in clinical evaluation, they cannot substitute reliably as a surrogate for visual acuity at a given point in time. This study does not address whether short-term changes on OCT are predictive of long-term effects on visual acuity.

Indexed as

Laser CoagulationRetinaTomography, Optical CoherenceVisual AcuityDiabetic RetinopathyHumansMacular EdemaPostoperative PeriodPreoperative Care

Identifiers

PMID17123615
PMCPMC2585542
OpenAlexW1574902248

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.