Evidence map›Paper›PMID 26028345›Full record

ArticleOphthalmology2015

Influence of Fluorescein Angiography on the Diagnosis and Management of Retinopathy of Prematurity.

Michael A Klufas, Samir N Patel, Michael C Ryan, Mrinali Patel Gupta, Karyn E Jonas, Susan Ostmo, Maria Ana Martinez-Castellanos, Audina M Berrocal, Michael F Chiang, R V Paul Chan

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06044181 (Long Term Management of Peripheral Avascular Retina in Retinopathy of Prematurity Evaluated by Fundus Fluorescein Angiography.), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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.

NCT06044181 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Long Term Management of Peripheral Avascular Retina in Retinopathy of Prematurity Evaluated by Fundus Fluorescein Angiography.

TypeinterventionalSponsorAssiut UniversityRan2024 to 2025Enrolled32ConditionsRetinopathy of PrematurityArmsDiode laser photocoagulation.
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Retinopathy of prematurity screening and treatment practice patterns: an African multi-country survey.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  5. Article
  6. Persistent avascular retina in retinopathy of prematurity.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
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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

10 authors at 3 institutions in 2 countries.

Michael A KlufasDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Samir N PatelDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Michael C RyanDepartment of Ophthalmology, Casey Eye Institute at Oregon Health & Science University, Portland, Oregon.
Mrinali Patel GuptaDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Karyn E JonasDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Susan OstmoDepartment of Ophthalmology, Casey Eye Institute at Oregon Health & Science University, Portland, Oregon.
Maria Ana Martinez-CastellanosAsociación para Evitar la Ceguera en México, Mexico City, Mexico.
Audina M BerrocalDepartment of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida.
Michael F ChiangDepartment of Ophthalmology, Casey Eye Institute at Oregon Health & Science University, Portland, Oregon.
R V Paul ChanDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York. Electronic address: roc9013@med.cornell.edu.
Cornell University · USOregon Health & Science University · USAsociacion Para Evitar la Ceguera en México Hospital Dr. Luis Sánchez Bulnes · MX

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Clinical and Genetic Analysis of Retinopathy of PrematurityR01EY019474 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2010 to 2020
$7.0M
Telemedical Diagnosis of Retinopathy of PrematurityK23EY013972 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHIANG, MICHAEL · 2003 to 2007
$1.2M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1TR00457NEI NIH HHS EY19474NEI NIH HHS K23 EY013972NEI NIH HHS R01 EY019474
6 · The paper itself

Abstract

purposeTo examine the influence of fluorescein angiography (FA) on the diagnosis and management of retinopathy of prematurity (ROP).

designProspective cohort study.

participantsNine recognized ROP experts (3 pediatric ophthalmologists and 6 retina specialists) interpreted 32 sets (16 color fundus photographs and 16 color fundus photographs paired with the corresponding FA images) of wide-angle retinal images from infants with ROP.

methodsAll experts independently reviewed the 32 image sets on a secure website and provided a diagnosis and management plan for the case presented, first based on color fundus photographs alone, and then based on color fundus photographs and corresponding FA images.

main outcome measuresSensitivity and specificity of the ROP diagnosis (zone, stage, plus disease, and category, i.e., no ROP, mild ROP, type 2 ROP, and ROP requiring treatment) were calculated using a consensus reference standard diagnosis, determined from the diagnosis of the color fundus photographs by 3 experienced readers in combination with the clinical diagnosis based on ophthalmoscopic examination. The κ statistic was used to analyze the average intergrader agreement among experts for the diagnosis of zone, stage, plus disease, and category.

resultsAddition of FA to color fundus photography resulted in a significant improvement in sensitivity for diagnosis of stage 3 or worse disease (39.8% vs. 74.1%; P = 0.008), type 2 or worse ROP (69.4% vs. 86.8%; P = 0.013), and pre-plus or worse disease (50.5 vs. 62.6%; P = 0.031). There was a nonsignificant trend toward improved sensitivity for diagnosis of ROP requiring treatment (22.2% vs. 40.3%; P = 0.063). Using the κ statistic, addition of FA to color fundus photography significantly improved intergrader agreement for diagnosis of ROP requiring treatment. Addition of FA to color fundus photography did not affect intergrader agreement significantly for the diagnosis of stage, zone, or plus disease.

conclusionsCompared with color fundus photography alone, FA may improve the sensitivity of diagnosis of ROP by experts, particularly for stage 3 disease. In addition, intergrader agreement for diagnosis of ROP requiring treatment may improve with FA interpretation.

Indexed as

Fluorescein AngiographyGestational AgeHumansInfantInfant, NewbornObserver VariationPhotographyProspective StudiesReproducibility of ResultsRetinopathy of PrematuritySensitivity and Specificity

Identifiers

PMID26028345
PMCPMC4800809
OpenAlexW1509323746

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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.