Evidence map›Paper›PMID 24709811›Full record

Trial reportAmerican journal of ophthalmology2014

Effect of brimonidine on retinal vascular autoregulation and short-term visual function in normal tension glaucoma.

Gilbert T Feke, Peter J Bex, Christopher P Taylor, Douglas J Rhee, Angela V Turalba, Teresa C Chen, Martin Wand, Louis R Pasquale

Abstract readClinical Trial
In one paragraph

Trial report in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.4field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 58 citations in OpenAlex.

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  20. The nitric oxide-guanylate cyclase pathway and glaucoma.Nitric oxide : biology and chemistry · 2018
    Review
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

8 authors at 1 institution in 1 country.

Gilbert T FekeMassachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Peter J BexSchepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Christopher P TaylorSchepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Douglas J RheeMassachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Angela V TuralbaMassachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Teresa C ChenMassachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Martin WandConsulting Ophthalmologists, Farmington, Connecticut.
Louis R PasqualeMassachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts. Electronic address: Louis_Pasquale@meei.harvard.edu.
Massachusetts Eye and Ear Infirmary · US

Funding

Gene-Environment Interactions in GlaucomaR01EY015473 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI PASQUALE, LOUIS ROBERT · 2005 to 2021
$8.3M
Psychophysical Correlates of Neurodegeneration in GlaucomaR01EY018664 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI BEX, PETER JOHN · 2009 to 2012
$1.9M
NEI NIH HHS R01 EY015473NEI NIH HHS R01 EY018664
6 · The paper itself

Abstract

purposeTo assess whether brimonidine 0.15% alters retinal vascular autoregulation and short-term visual function in normal tension glaucoma patients who demonstrate retinal vascular dysregulation.

designNonrandomized clinical trial.

methodsIn this prospective study, 46 normal tension glaucoma patients not previously treated with brimonidine underwent retinal vascular autoregulation testing and visual function assessment using frequency doubling technology perimetry and equivalent noise motion sensitivity testing. We measured blood flow in a major temporal retinal artery with subjects seated and then while reclined for 30 minutes. Patients having a change in retinal blood flow with posture change outside the range previously found in healthy subjects were classified as having retinal vascular dysregulation. They were treated with brimonidine 0.15% for 8 weeks and designated for retesting.

resultsTwenty-three patients demonstrated retinal vascular dysregulation at the initial visit. Younger age (P = .050) and diabetes (P = .055) were marginally significant risk factors for retinal vascular dysregulation. After the 8-week course with brimonidine, 14 of the 17 patients who completed the study showed a return of posture-induced retinal blood flow changes to levels consistent with normal retinal vascular autoregulation (P < .0001). We found no significant changes in frequency doubling technology perimetry or in motion detection parameters following treatment with brimondine (P > .09 for all tests performed).

conclusionsBrimonidine significantly improved impaired retinal vascular autoregulation in normal tension glaucoma patients, but short-term alteration in visual function could not be demonstrated.

Indexed as

Adrenergic alpha-2 Receptor AgonistsAdultAgedAged, 80 and overBlood Flow VelocityBrimonidine TartrateFemaleHomeostasisHumansIntraocular PressureLow Tension GlaucomaMaleMiddle AgedOphthalmic SolutionsPostureProspective StudiesAdrenergic alpha-2 Receptor AgonistsBrimonidine TartrateOphthalmic SolutionsQuinoxalines

Identifiers

PMID24709811
PMCPMC6693340
OpenAlexW1993277638

What OpenQuestion holds

Textmetadata
LicenceTDM
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.