Evidence map›Paper›PMID 26873511›Full record

Trial reportInvestigative ophthalmology & visual science2016

Between-Subject Variability in Healthy Eyes as a Primary Source of Structural-Functional Discordance in Patients With Glaucoma.

Bright S Ashimatey, William H Swanson

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Using perimetric data to estimate ganglion cell loss for detecting progression of glaucoma: a comparison of models.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2017
    Trial
  2. Article
  3. Cumulative Loss of Inner Retinal Neurons in Healthy and Glaucoma Subjects.Investigative ophthalmology & visual science · 2026
    Article
  4. Targeted perimetry for mapping the shape of glaucomatous arcuate scotomata.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Assessing the Impact of En Face Retinal Nerve Fiber Layer Imaging on Clinical Decision Making for Glaucoma Suspects.Optometry and vision science : official publication of the American Academy of Optometry · 2020
    Article
  10. Article
  11. Article
  12. Using Small Samples to Evaluate Normative Reference Ranges for Retinal Imaging Measures.Optometry and vision science : official publication of the American Academy of Optometry · 2019
    Article
  13. Article
  14. Comparison of defect depths for sinusoidal and circular perimetric stimuli in patients with glaucoma.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2019
    Article
  15. Article
  16. Article
  17. Article
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

2 authors.

Bright S Ashimatey
William H Swanson

Funding

APPLICATION OF PSYCHOPHYSICAL MODELS TO VISUAL DISORDERSR01EY007716 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI SWANSON, WILLIAM H. · 1997 to 2013
$4.7M
3D RNFL Structure And High-Resolution Perimetry For Assessing Glaucomatous DamageR01EY024542 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI SWANSON, WILLIAM H. · 2014 to 2023
$3.2M
NEI NIH HHS R01 EY007716NEI NIH HHS R01EY007716NEI NIH HHS R01 EY024542NEI NIH HHS R01EY024542
6 · The paper itself

Abstract

purposeTo test with an independent data set the finding that between-subject variability in healthy eyes is the primary source of structural-functional discordance in patients with glaucoma.

methodsNeuroretinal rim area, retinal nerve fiber layer thickness, and perimetric data were analyzed for one eye in each of 55 control subjects and for 245 right eyes of patients in the United Kingdom Glaucoma Treatment Study. Data were gathered with the Heidelberg Retina Tomograph (HRT), Stratus Optical Coherence Tomograph (OCT), and Humphrey Field Analyzer (HFA). Discordance was quantified as width of the limits of agreement from a Bland-Altman analysis of depth of defect. The ratio of variances (F test) for the patient and control groups was computed for comparisons of HFA-OCT, HFA-HRT, and OCT-HRT. Bonferroni adjustment required P less than 0.017 for statistical significance. The discordance in the patients was also quantified as the 95% prediction interval computed from the discordance in controls using the Hood-Kardon model for the HFA-OCT comparison.

resultsThe F ratio comparing discordance in patients and controls was 0.77, 1.43, and 1.32 for the HFA-OCT, HFA-HRT, and OCT-HRT comparisons with P values 0.88, 0.06, and 0.11, respectively. For the Hood-Kardon model, 4.7% of the patients had discordance outside the 95% prediction interval computed from the discordance in controls. Similar results were obtained when all comparisons were repeated for left eyes of patients.

conclusionsThese results confirm previous findings that between-subject variability in healthy eyes is the primary source of structural-functional discordance in patients with glaucoma, and extends this finding to a structural-structural comparison.

Indexed as

AgedDouble-Blind MethodFemaleGlaucoma, Open-AngleHumansIntraocular PressureMaleMiddle AgedOptic DiskSeverity of Illness IndexTomography, Optical CoherenceVisual AcuityVisual FieldsVisual Field Tests

Identifiers

PMID26873511
PMCPMC4758296

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.