Evidence map›Paper›PMID 26426403›Full record

ArticleInvestigative ophthalmology & visual science2015

Details of Glaucomatous Damage Are Better Seen on OCT En Face Images Than on OCT Retinal Nerve Fiber Layer Thickness Maps.

Donald C Hood, Brad Fortune, Maria A Mavrommatis, Juan Reynaud, Rithambara Ramachandran, Robert Ritch, Richard B Rosen, Hassan Muhammad, Alfredo Dubra, Toco Y P Chui

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
9.7field-weighted citation impact, top 1% 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

53 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
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  3. Advances in OCT Angiography.Translational vision science & technology · 2025
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  5. Quantifying Putative Retinal Gliosis in Preclinical Alzheimer's Disease.Investigative ophthalmology & visual science · 2024
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  6. Predicting perimetric defects from en face maps of retinal nerve fibre layer reflectance.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2024
    Article
  7. Article
  8. Article
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  13. Within-eye and between-subject variability for reflectance of the retinal nerve fibre layer.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Donald C HoodDepartments of Psychology and Ophthalmology Columbia University, New York, New York, United States.
Brad FortuneLegacy Health, Legacy Research Institute, Portland, Oregon, United States.
Maria A MavrommatisDepartment of Psychology, Columbia University, New York, New York, United States.
Juan ReynaudLegacy Health, Legacy Research Institute, Portland, Oregon, United States.
Rithambara RamachandranDepartment of Psychology, Columbia University, New York, New York, United States.
Robert RitchDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Richard B RosenDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Hassan MuhammadDepartment of Psychology, Columbia University, New York, New York, United States.
Alfredo DubraDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Toco Y P ChuiDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Columbia University · USNew York Eye and Ear Infirmary · USLegacy Health · USMedical College of Wisconsin · US

Funding

MORPHOLOGY MODULEP30EY001931 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI LINK, BRIAN A · 1985 to 2016
$9.8M
Tests of Models of Retinal/Optic Nerve Diseases&AdaptionR01EY002115 · NEI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HOOD, DONALD C. · 1985 to 2018
$7.4M
Axonal cytoskeletal changes in experimental glaucomaR01EY019327 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI FORTUNE, BRAD · 2009 to 2014
$1.7M
NEI NIH HHS EY-02115NEI NIH HHS P30 EY001931NEI NIH HHS R01 EY002115NEI NIH HHS R01 EY019327
6 · The paper itself

Abstract

purposeHigh-resolution images of glaucomatous damage to the retinal nerve fiber layer (RNFL) were obtained with an adaptive optics-scanning light ophthalmoscope (AO-SLO) and used as a basis for comparisons between en face slab images and thickness maps derived from optical coherence tomography (OCT) scans.

methodsWide-field (9 × 12 mm) cube scans were obtained with swept-source OCT (DRI-OCT) from six eyes of six patients. All eyes had a deep defect near fixation as seen on a 10-2 visual field test. Optical coherence tomography en face images, based on the average reflectance intensity, were generated (ATL 3D-Suite) from 52-μm slabs just below the vitreal border of the inner limiting membrane. The RNFL thickness maps were generated from the same OCT data. Both were compared with the AO-SLO peripapillary images that were previously obtained.

resultsOn AO-SLO images, three eyes showed small regions of preserved and/or missing RNFL bundles within the affected region. Details in these regions were seen on the OCT en face images but not on the RNFL thickness maps. In addition, in the healthier hemi-retinas of two eyes, there were darker, arcuate-shaped regions on en face images that corresponded to abnormalities seen on AO-SLO. These were not seen on RNFL thickness maps.

conclusionsDetails of local glaucomatous damage, missing or easily overlooked on traditional OCT RNFL thickness analysis used in clinical OCT reports, were seen on OCT en face images based on the average reflectance intensity. While more work is needed, it is likely that en face slab imaging has a role in the clinical management of glaucoma.

Indexed as

GlaucomaHumansIntraocular PressureNerve FibersOptic DiskRetinal Ganglion CellsTomography, Optical CoherenceVisual AcuityVisual Fields

Identifiers

PMID26426403
PMCPMC4703406
OpenAlexW2382994072

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.