Evidence map›Paper›PMID 26677974›Full record

ArticleBMC ophthalmology2015

Significant role of the choroidal outer layer during recovery from choroidal thickening in Vogt-Koyanagi-Harada disease patients treated with systemic corticosteroids.

Kiriko Hirooka, Wataru Saito, Kenichi Namba, Kazuomi Mizuuchi, Daiju Iwata, Yuki Hashimoto, Susumu Ishida

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Early Changes in Ocular Biomarkers in Patients with Vogt-Koyanagi-Harada Disease after Pulse Steroid Therapy.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2025
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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

7 authors at 1 institution in 1 country.

Kiriko HirookaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. hirooka0516k@yahoo.co.jp.
Wataru SaitoDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. wsaito@med.hokudai.ac.jp.
Kenichi NambaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. knamba@med.hokudai.ac.jp.
Kazuomi MizuuchiDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. mizuuchi@peach.plala.or.jp.
Daiju IwataDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. d.iwata@med.hokudai.ac.jp.
Yuki HashimotoDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. mamepopposeat@yahoo.co.jp.
Susumu IshidaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. ishidasdu@med.hokudai.ac.jp.
Hokkaido University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhich of the choroidal layers suffers the most extensive morphological changes during the course of Vogt-Koyanagi-Harada (VKH) disease is still unknown. The aim of this study was to investigate the relationship between total thickness and the thickness of inner or outer layers in the choroid during systemic corticosteroid therapy in patients with VKH disease.

methodsThis retrospective case series included 15 eyes of 10 patients with treatment-naïve VKH disease (4 men and 6 women; mean age, 41.4 ± 14.7 years) received systemic corticosteroid therapy. Whole, inner, and outer choroidal thickness was measured manually at 1 week and at 1 and 3 months after initiation of systemic corticosteroid therapy using enhanced depth imaging optical coherence tomography. The mean thickness values of the layers were compared at each stage.

resultsCompared with the 1-week baseline, the mean whole and outer choroidal layer thicknesses were significantly lower at 1 (P = 0.008 and 0.03, respectively) and 3 months (P = 0.008 and 0.02, respectively), whereas the inner layer did not significantly thin. Importantly, there was a significant positive correlation between the rates of change of whole and outer layer thickness from 1 week to 3 months (R = 0.9312, P < 0.0001), but not between the rates of whole and inner layer thickness changes.

conclusionsThe thinning of total choroidal thickness observed after treatment with corticosteroids strongly correlated with outer layer thinning, suggesting that the choroidal outer layer is the primary target in acute-stage VKH disease.

Indexed as

AdolescentAdultChoroidChoroid DiseasesFemaleFluorescein AngiographyGlucocorticoidsHumansMaleMethylprednisoloneMiddle AgedPrednisoloneRecovery of FunctionRetrospective StudiesTomography, Optical CoherenceUveomeningoencephalitic SyndromeGlucocorticoidsMethylprednisolonePrednisolone

Identifiers

PMID26677974
PMCPMC4683749
OpenAlexW2222797537

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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.