Evidence map›Paper›PMID 23696601›Full record

Trial reportInvestigative ophthalmology & visual science2013

Multimodal assessment of microscopic morphology and retinal function in patients with geographic atrophy.

Athanasios Panorgias, Robert J Zawadzki, Arlie G Capps, Allan A Hunter, Lawrence S Morse, John S Werner

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Article
  7. Review
  8. Treating patients with geographic atrophy: are we there yet?International journal of retina and vitreous · 2023
    Review
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  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
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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

6 authors at 1 institution in 1 country.

Athanasios PanorgiasDepartment of Ophthalmology and Vision Science, University of California, Davis, Davis, California 95817, USA. apanorgias@ucdavis.edu
Robert J Zawadzki
Arlie G Capps
Allan A Hunter
Lawrence S Morse
John S Werner
University of California, Davis · US

Funding

Ophthalmic Imaging Using Adaptive Optics and OCTR01EY014743 · NEI · UNIVERSITY OF CALIFORNIA DAVIS · PI WERNER, JOHN S · 2003 to 2012
$10.4M
OPTICAL AND NEURAL CHANGES IN THE AGING VISUAL SYSTEMR37AG004058 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI WERNER, JOHN S · 2001 to 2010
$2.9M
OPTICAL &NEURAL CHANGES IN THE AGING VISUAL SYSTEMR01AG004058 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI WERNER, JOHN S · 1988 to 2015
$1.9M
OPTICAL AND NEURAL CHANGES IN THE AGING VISUAL SYSTEMR23AG004058 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI WERNER, JOHN S. · 1985 to 1985
–
NEI NIH HHS EY 014743NEI NIH HHS R01 EY014743NIA NIH HHS AG 04058NIA NIH HHS R01 AG004058NIA NIH HHS R37 AG004058
6 · The paper itself

Abstract

purposeTo correlate retinal function and visual sensitivity with retinal morphology revealed by ultrahigh-resolution imaging with adaptive optics-optical coherence tomography (AO-OCT), on patients with geographic atrophy.

methodsFive eyes from five subjects were tested (four with geographic atrophy [66.3 ± 6.4 years, mean ± 1 SD] and one normal [61 years]). Photopic and scotopic multifocal electroretinograms (mfERGs) were recorded. Visual fields were assessed with microperimetry (mP) combined with a scanning laser ophthalmoscope for high-resolution confocal retinal fundus imaging. The eye tracker of the microperimeter identified the preferred retinal locus that was then used as a reference for precise targeting of areas for advanced retinal imaging. Images were obtained with purpose-built, in-house, ultrahigh resolution AO-OCT. Fundus autofluorescence (FAF) and color fundus (CF) photographs were also acquired.

resultsThe AO-OCT imaging provided detailed cross-sectional structural representation of the retina. Up to 12 retinal layers were identified in the normal subject while many severe retinal abnormalities (i.e., calcified drusen, drusenoid pigment epithelium detachment, outer retinal tubulation) were identified in the retinae of the GA patients. The functional tests showed preservation of sensitivities, although somewhat compromised, at the border of the GA.

conclusionsThe images provided here advance our knowledge of the morphology of retinal layers in GA patients. While there was a strong correlation between altered retinal structure and reduction in visual function, there were a number of examples in which the photoreceptor inner/outer segment (IS/OS) junctions lost reflectivity at the margins of GA, while visual function was still demonstrated. This was shown to be due to changes in photoreceptor orientation near the GA border.

Indexed as

AgedColor VisionDark AdaptationElectroretinographyFemaleGeographic AtrophyHumansMaleMicroscopy, ConfocalMiddle AgedOptical ImagingRetinaTomography, Optical CoherenceVisual FieldsVisual Field Testsadaptive-optics OCTgeographic atrophymicroperimetrymultifocal ERGscotopic mfERG

Identifiers

PMID23696601
PMCPMC3694790
OpenAlexW2079026798

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.