Evidence map›Paper›PMID 27074381›Full record

ArticleInvestigative ophthalmology & visual science2016

Visual Function in Older Eyes in Normal Macular Health: Association with Incident Early Age-Related Macular Degeneration 3 Years Later.

Cynthia Owsley, Mark E Clark, Carrie E Huisingh, Christine A Curcio, Gerald McGwin

Abstract read
In one paragraph

Article 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 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Impaired Rod-Mediated Vision is the Functional Hallmark of Ageing and Early and Intermediate Age-Related Macular Degeneration.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  4. Article
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  9. Additional measures of macular function beyond visual acuity.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
  10. Article
  11. Article
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  13. Age-related normal limits for spatial vision.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

5 authors.

Cynthia OwsleyDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Mark E ClarkDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Carrie E HuisinghDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Christine A CurcioDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Gerald McGwinDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States 2Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, United States.

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
NEI NIH HHS R01 EY006109NEI NIH HHS R01EY6109NIA NIH HHS R01 AG004212NIA NIH HHS R01AG04212
6 · The paper itself

Abstract

purposeIn older eyes in normal macular health, we examined associations between impaired photopic acuity, mesopic acuity, spatial contrast sensitivity, light sensitivity, and the presence of low luminance deficit (difference between photopic and mesopic acuity) at baseline and incident AMD 3 years later. Associations were compared with an association between delayed rod-mediated dark adaptation and incident AMD, previously reported for this cohort.

methodsEnrollees were 60 years or older. Eyes at step 1 in the AREDS nine-step classification system based on masked grading of color fundus photographs were included. Photopic and mesopic acuity, contrast sensitivity, and light sensitivity, and the presence of low luminance deficit, were measured at baseline. Demographic, lifestyle, general health, and blood markers were assessed at baseline as potential confounders. Three years later fundus grading was repeated to determine AMD presence.

resultsFor the analysis, 827 eyes of 467 persons were eligible. Impaired mesopic acuity at baseline was associated with incident AMD, age-adjusted rate ratio (RR) 1.57 (95% confidence interval [CI] 1.04-2.35), whereas impaired photopic acuity, contrast sensitivity and macular light sensitivity, and the presence of a low luminance deficit were not. The mesopic acuity association was slightly weaker than the association between abnormal dark adaptation and incident AMD (RR 1.85, 95% CI 1.07-3.20).

conclusionsImpaired mesopic acuity in eyes in normal macular health is a risk factor for incident early AMD 3 years later, however, photopic acuity, contrast sensitivity, and light sensitivity, and the presence of a low luminance deficit are not risk factors.

Indexed as

AgedAged, 80 and overAlabamaColor VisionContrast SensitivityDark AdaptationDiagnostic Techniques, OphthalmologicalDisease ProgressionFemaleFollow-Up StudiesHumansIncidenceMacula LuteaMacular DegenerationMaleMesopic Vision

Identifiers

PMID27074381
PMCPMC4849546

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.