Evidence map›Paper›PMID 26875000›Full record

ArticleOphthalmology2016

Prevalence of Subretinal Drusenoid Deposits in Older Persons with and without Age-Related Macular Degeneration, by Multimodal Imaging.

Anna V Zarubina, David C Neely, Mark E Clark, Carrie E Huisingh, Brian C Samuels, Yuhua Zhang, Gerald McGwin, Cynthia Owsley, Christine A Curcio

Open access · greenAbstract read
In one paragraph

Article in Ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
12.5field-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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Anna V ZarubinaDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
David C NeelyDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Mark E ClarkDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Carrie E HuisinghDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama.
Brian C SamuelsDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Yuhua ZhangDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Gerald McGwinDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama.
Cynthia OwsleyDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Christine A CurcioDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: curcio@uab.edu.
University of Alabama at Birmingham · US

Funding

VISUAL DYSFUNCTION AND AGING--UNDERLYING MECHANISMSR01AG004212 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OWSLEY, CYNTHIA · 1985 to 2012
$3.7M
QUANTITATIVE ANAYLSIS OF AGING RETINAR01EY006109 · NEI · UNIVERSITY OF WASHINGTON · PI CURCIO, CHRISTINE A · 1986 to 2012
$3.5M
In vivo Ultrastructure of Chorioretinal DiseaseR01EY024378 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ZHANG, YUHUA LIANG · 2015 to 2023
$2.9M
NEI NIH HHS R01 EY006109NEI NIH HHS R01 EY024378NIA NIH HHS R01 AG004212
6 · The paper itself

Abstract

purposeTo assess the prevalence of subretinal drusenoid deposits (SDD) in older adults with healthy maculas and early and intermediate age-related macular degeneration (AMD) using multimodal imaging.

designCross-sectional study.

participantsA total of 651 subjects aged ≥60 years enrolled in the Alabama Study of Early Age-Related Macular Degeneration from primary care ophthalmology clinics.

methodsSubjects were imaged using spectral domain optical coherence tomography (SD OCT) of the macula and optic nerve head (ONH), infrared reflectance, fundus autofluorescence, and color fundus photographs (CFP). Eyes were assessed for AMD presence and severity using the Age-Related Eye Disease Study (AREDS) 9-step scale. Criteria for SDD presence were identification on ≥1 en face modality plus SD OCT or on ≥2 en face modalities if absent on SD OCT. Subretinal drusenoid deposits were considered present at the person level if present in 1 or both eyes.

main outcome measuresPrevalence of SDD in participants with and without AMD.

resultsOverall prevalence of SDD was 32% (197/611), with 62% (122/197) affected in both eyes. Persons with SDD were older than those without SDD (70.6 vs. 68.7 years, P = 0.0002). Prevalence of SDD was 23% in subjects without AMD and 52% in subjects with AMD (P < 0.0001). Among those with early and intermediate AMD, SDD prevalence was 49% and 79%, respectively. After age adjustment, those with SDD were 3.4 times more likely to have AMD than those without SDD (95% confidence interval, 2.3-4.9). By using CFP only for SDD detection per the AREDS protocol, prevalence of SDD was 2% (12/610). Of persons with SDD detected by SD OCT and confirmed by at least 1 en face modality, 47% (89/190) were detected exclusively on the ONH SD OCT volume.

conclusionsSubretinal drusenoid deposits are present in approximately one quarter of older adults with healthy maculae and in more than half of persons with early to intermediate AMD, even by stringent criteria. The prevalence of SDD is strongly associated with AMD presence and severity and increases with age, and its retinal topography including peripapillary involvement resembles that of rod photoreceptors. Consensus on SDD detection methods is recommended to advance our knowledge of this lesion and its clinical and biologic significance.

Indexed as

Multimodal ImagingAgedAged, 80 and overApolipoprotein A-IApolipoproteins BComplement System ProteinsC-Reactive ProteinCross-Sectional StudiesFemaleHumansMacula LuteaMaleMiddle AgedOptic DiskPrevalenceProspective StudiesApolipoprotein A-IApolipoproteins BComplement System ProteinsC-Reactive Protein

Identifiers

PMID26875000
PMCPMC4842107
OpenAlexW2254463338

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.