Evidence map›Paper›PMID 24425852›Full record

ArticleInvestigative ophthalmology & visual science2014

Classification of human retinal microaneurysms using adaptive optics scanning light ophthalmoscope fluorescein angiography.

Michael Dubow, Alexander Pinhas, Nishit Shah, Robert F Cooper, Alexander Gan, Ronald C Gentile, Vernon Hendrix, Yusufu N Sulai, Joseph Carroll, Toco Y P Chui and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
8.0field-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.

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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.

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7 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

14 authors at 5 institutions in 1 country.

Michael DubowDepartment of Ophthalmology, New York Eye and Ear Infirmary, New York, New York.
Alexander Pinhas
Nishit Shah
Robert F Cooper
Alexander Gan
Ronald C Gentile
Vernon Hendrix
Yusufu N Sulai
Joseph Carroll
Toco Y P Chui
Joseph B Walsh
Rishard Weitz
Alfredo Dubra
Richard B Rosen
New York Eye and Ear Infirmary · USIcahn School of Medicine at Mount Sinai · USMarquette University · USMedical College of Wisconsin · USUniversity of Rochester · US

Funding

Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
MORPHOLOGY MODULEP30EY001931 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI LINK, BRIAN A · 1985 to 2016
$9.8M
Assessing Photoreceptor Structure and Function in Normal and Diseased RetinaeR01EY017607 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI Joseph Carroll · 2008 to 2026
$8.3M
NCATS NIH HHS UL1 TR000055NCATS NIH HHS UL1TR000055NEI NIH HHS P30 EY001931NEI NIH HHS P30EY001931NEI NIH HHS R01 EY017607
6 · The paper itself

Abstract

purposeMicroaneurysms (MAs) are considered a hallmark of retinal vascular disease, yet what little is known about them is mostly based upon histology, not clinical observation. Here, we use the recently developed adaptive optics scanning light ophthalmoscope (AOSLO) fluorescein angiography (FA) to image human MAs in vivo and to expand on previously described MA morphologic classification schemes.

methodsPatients with vascular retinopathies (diabetic, hypertensive, and branch and central retinal vein occlusion) were imaged with reflectance AOSLO and AOSLO FA. Ninety-three MAs, from 14 eyes, were imaged and classified according to appearance into six morphologic groups: focal bulge, saccular, fusiform, mixed, pedunculated, and irregular. The MA perimeter, area, and feret maximum and minimum were correlated to morphology and retinal pathology. Select MAs were imaged longitudinally in two eyes.

resultsAdaptive optics scanning light ophthalmoscope fluorescein angiography imaging revealed microscopic features of MAs not appreciated on conventional images. Saccular MAs were most prevalent (47%). No association was found between the type of retinal pathology and MA morphology (P = 0.44). Pedunculated and irregular MAs were among the largest MAs with average areas of 4188 and 4116 μm(2), respectively. Focal hypofluorescent regions were noted in 30% of MAs and were more likely to be associated with larger MAs (3086 vs. 1448 μm(2), P = 0.0001).

conclusionsRetinal MAs can be classified in vivo into six different morphologic types, according to the geometry of their two-dimensional (2D) en face view. Adaptive optics scanning light ophthalmoscope fluorescein angiography imaging of MAs offers the possibility of studying microvascular change on a histologic scale, which may help our understanding of disease progression and treatment response.

Indexed as

OphthalmoscopesRetinal ArteryAdultAgedAged, 80 and overAneurysmEquipment DesignFemaleFluorescein AngiographyFundus OculiHumansMaleMiddle AgedRetinal DiseasesSeverity of Illness IndexAOSLOfluorescein angiographymicroaneurysm

Identifiers

PMID24425852
PMCPMC3943418
OpenAlexW2078631766

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.