Evidence map›Paper›PMID 19174719›Full record

Trial reportRetina (Philadelphia, Pa.)2009

Association of the extent of diabetic macular edema as assessed by optical coherence tomography with visual acuity and retinal outcome variables.

David J Browning, Rajendra S Apte, Susan B Bressler, Kakarla V Chalam, Ronald P Danis, Matthew D Davis, Craig Kollman, Haijing Qin, Srinivas Sadda, Ingrid U Scott and 1 more

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

Trial report in Retina (Philadelphia, Pa.), 2009. 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Monotherapy laser photocoagulation for diabetic macular oedema.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
  3. Trial
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  5. Zone-wise examination of optical coherence tomography features and their correspondence to multifocal electroretinography in eyes with nonproliferative diabetic retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Prediction of postoperative visual outcome after pars plana vitrectomy based on preoperative multifocal electroretinography in eyes with diabetic macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2010
    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

11 authors at 7 institutions in 1 country.

David J BrowningCharlotte Eye Ear Nose and Throat Assoc, PA, Charlotte, North Carolina, USA. drcrnetA4@jaeb.org
Rajendra S Apte
Susan B Bressler
Kakarla V Chalam
Ronald P Danis
Matthew D Davis
Craig Kollman
Haijing Qin
Srinivas Sadda
Ingrid U Scott
Diabetic Retinopathy Clinical Research Network
Charlotte Eye Ear Nose & Throat Associates · USJaeb Center for Health Research · USUniversity of Wisconsin–Madison · USFlorida College · USJohns Hopkins University · USRetina Institute · USUniversity of Southern California · 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

purposeTo determine whether the extensiveness of diabetic macular edema using a 10-step scale based on optical coherence tomography explains pretreatment variation in visual acuity and predicts change in macular thickness or visual acuity after laser photocoagulation.

methodsThree hundred twenty-three eyes from a randomized clinical trial of two methods of laser photocoagulation for diabetic macular edema were studied. Baseline number of thickened optical coherence tomography subfields was used to characterize diabetic macular edema on a 10-step scale from 0 to 9. Associations were explored between baseline number of thickened subfields and baseline fundus photographic variables, visual acuity, central subfield mean thickness (CSMT), and total macular volume. Associations were also examined between baseline number of thickened subfields and changes in visual acuity, CSMT, and total macular volume at 3.5 and 12 months after laser photocoagulation.

resultsFor baseline visual acuity, the number of thickened subfields explained no more variation than did CSMT, age and fluorescein leakage. A greater number of thickened subfields was associated with a greater baseline CSMT, total macular volume, area of retinal thickening, and degree of thickening at the center of the macula (r = 0.64, 0.77, 0.61-0.63, and 0.45, respectively) and with a lower baseline visual acuity (r = 0.38). Baseline number of thickened subfields showed no association with change in visual acuity (r < or = 0.01-0.08) and weak associations with change in CSMT and total macular volume (r from 0.11 to 0.35).

conclusionThis optical coherence tomography based assessment of the extensiveness of diabetic macular edema did not explain additional variation in baseline visual acuity above that explained by other known important variables nor predict changes in macular thickness or visual acuity after laser photocoagulation.

Indexed as

Diabetic RetinopathyFollow-Up StudiesHumansLaser CoagulationMacular EdemaPrognosisRetinaTomography, Optical CoherenceVisual Acuity

Identifiers

PMID19174719
PMCPMC2657814
OpenAlexW2093120518

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.