Evidence map›Paper›PMID 24015292›Full record

Trial reportPloS one2013

Spectrum of ocular manifestations in CLN2-associated batten (Jansky-Bielschowsky) disease correlate with advancing age and deteriorating neurological function.

Anton Orlin, Dolan Sondhi, Matthew T Witmer, Matthew M Wessel, Jason G Mezey, Stephen M Kaminsky, Neil R Hackett, Kaleb Yohay, Barry Kosofsky, Mark M Souweidane and 4 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Syndromic Retinitis Pigmentosa: A Narrative Review.Vision (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Visual perception and macular integrity in non-classical CLN2 disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Observational
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Neuronal ceroid lipofuscinosis type 2: an Australian case series.Journal of paediatrics and child health · 2020
    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

14 authors at 1 institution in 1 country.

Anton OrlinDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York, United States of America.
Dolan Sondhi
Matthew T Witmer
Matthew M Wessel
Jason G Mezey
Stephen M Kaminsky
Neil R Hackett
Kaleb Yohay
Barry Kosofsky
Mark M Souweidane
Michael G Kaplitt
Donald J D'Amico
Ronald G Crystal
Szilárd Kiss
Cornell University · US

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Gene Therapy for Batten Disease Using AAVrh.10 Expressing Human CLN2 cDNAR01NS061848 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI CRYSTAL, RONALD G · 2010 to 2013
$3.7M
NCATS NIH HHS UL1 TR000457NINDS NIH HHS R01 NS061848PHS HHS U54 N506578
6 · The paper itself

Abstract

backgroundLate infantile neuronal ceroid lipofuscinosis (LINCL), one form of Batten's disease is a progressive neurodegenerative disorder resulting from a CLN2 gene mutation. The spectrum of ophthalmic manifestations of LINCL and the relationship with neurological function has not been previously described.

methodsPatients underwent ophthalmic evaluations, including anterior segment and dilated exams, optical coherence tomography, fluorescein and indocyanine green angiography. Patients were also assessed with the LINCL Neurological Severity Scale. Ophthalmic findings were categorized into one of five severity scores, and the association of the extent of ocular disease with neurological function was assessed.

resultsFifty eyes of 25 patients were included. The mean age at the time of exam was 4.9 years (range 2.5 to 8.1). The mean ophthalmic severity score was 2.6 (range 1 to 5). The mean neurological severity score was 6.1 (range 2 to 11). Significantly more severe ophthalmic manifestations were observed among older patients (p<0.005) and patients with more severe neurological findings (p<0.03). A direct correlation was found between the Ophthalmic Severity Scale and the Weill Cornell Neurological Scale (p<0.002). A direct association was also found between age and the ophthalmic manifestations (p<0.0002), with older children having more severe ophthalmic manifestations.

conclusionsOphthalmic manifestations of LINCL correlate closely with the degree of neurological function and the age of the patient. The newly established LINCL Ophthalmic Scale may serve as an objective marker of LINCL severity and disease progression, and may be valuable in the evaluation of novel therapeutic strategies for LINCL, including gene therapy.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAminopeptidasesDipeptidyl-Peptidases and Tripeptidyl-PeptidasesEye DiseasesFemaleHumansMaleMiddle AgedMutationNeuronal Ceroid-LipofuscinosesSerine ProteasesSeverity of Illness IndexAminopeptidasesDipeptidyl-Peptidases and Tripeptidyl-PeptidasesSerine ProteasesTPP1 protein, humanTripeptidyl-Peptidase 1

Identifiers

PMID24015292
PMCPMC3756041
OpenAlexW2084219471

What OpenQuestion holds

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LicenceCC BY
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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.