Evidence map›Paper›PMID 23352193›Full record

Trial reportOphthalmology2013

Progression of intermediate age-related macular degeneration with proliferation and inner retinal migration of hyperreflective foci.

Joseph G Christenbury, Francisco A Folgar, Rachelle V O'Connell, Stephanie J Chiu, Sina Farsiu, Cynthia A Toth, Age-related Eye Disease Study 2 Ancillary Spectral Domain Optical Coherence Tomography Study Group

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00734487 (Age-Related Eye Disease Study 2 Ancillary Spectral Domain Optical Coherence Tomography Study), which is not on this map. Cited by 155 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT00734487 completednot on this map

Age-Related Eye Disease Study 2 Ancillary Spectral Domain Optical Coherence Tomography Study

TypeobservationalSponsorDuke UniversityRan2008 to 2015Enrolled470ConditionsAge Related Macular Degeneration
3 · Its place in the literature

Who cites it

155 citing papers in PubMed, 2 syntheses or guidelines pooled it, 266 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  13. Spatial distribution of Intra-retinal Hyper-reflective foci and impact on progression in eyes with intermediate Age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  14. Observational
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95 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Joseph G ChristenburyDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Francisco A Folgar
Rachelle V O'Connell
Stephanie J Chiu
Sina Farsiu
Cynthia A Toth
Age-related Eye Disease Study 2 Ancillary Spectral Domain Optical Coherence Tomography Study Group
Duke Medical Center · USDuke University · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
NEI NIH HHS P30 EY-005722NEI NIH HHS P30 EY005722
6 · The paper itself

Abstract

purposeDrusen and migrating retinal pigment epithelium have been associated with hyperreflective foci (HF) detected by spectral-domain optical coherence tomography (SD-OCT). This study sought to quantify the change in intraretinal HF distribution and its correlation with age-related macular degeneration (AMD) disease progression.

designProspective observational study from the multicenter Age-Related Eye Disease Study 2 (AREDS2) Ancillary SD-OCT Study.

participantsPatients (n=299) with 1 enrolled eye with intermediate AMD and baseline SD-OCT, followed by SD-OCT imaging at 1-year and 2-year visits.

methodsThe number and location of HF were scored in SD-OCT scans of all 299 eyes. The change in transverse (horizontal) and axial (vertical) distribution of HF in the macula were evaluated with pairwise signed-rank tests. Two-year inner retinal HF migration was determined by the change in HF-weighted axial distribution (AxD) score calculated for each eye. The correlation of HF with SD-OCT features of AMD progression was evaluated with logistic regression analysis.

main outcome measuresThe mean change in number of HF, transverse and axial distribution of HF in the macula, and AxD per eye.

resultsIn 299 study eyes, the 2-year increase in the number of HF (P<0.001) and the AxD (P<0.001) per eye represented longitudinal proliferation and shift to inner retinal layers, respectively. Eyes with geographic atrophy (GA) at 2 years were correlated with the presence of baseline HF (P<0.001; odds ratio [OR], 4.72; 95% confidence interval [CI], 2.43-9.80), greater number of baseline HF (P<0.001; OR, 1.61 per HF; 95% CI, 1.32-2.00), and greater baseline AxD (P<0.001; OR, 1.58 per AxD point; 95% CI, 1.29-1.95).

conclusionsProliferation and inner retinal migration of SD-OCT HF occurred during follow-up in eyes with intermediate AMD. These characteristics were associated with greater incidence of GA at year 2; therefore, SD-OCT HF proliferation and migration may serve as biomarkers for AMD progression. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Indexed as

AgedCell ProliferationCohort StudiesDisease ProgressionHumansLogistic ModelsMacula LuteaMacular DegenerationProspective StudiesRetinal Pigment EpitheliumTomography, Optical Coherence

Identifiers

PMID23352193
PMCPMC3640702
OpenAlexW1981111037

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.