Evidence map›Paper›PMID 27145477›Full record

ArticleInvestigative ophthalmology & visual science2016

Assessing Photoreceptor Structure in Retinitis Pigmentosa and Usher Syndrome.

Lynn W Sun, Ryan D Johnson, Christopher S Langlo, Robert F Cooper, Moataz M Razeen, Madia C Russillo, Alfredo Dubra, Thomas B Connor, Dennis P Han, Mark E Pennesi and 4 more

Open access · goldAbstract 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 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

77 citing papers in PubMed, 100 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. AFrontiers in cell and developmental biology · 2026
    Article
  9. Article
  10. Review
  11. Retinal Sensitivity in Comparison to Cone Density in Choroideremia.Investigative ophthalmology & visual science · 2024
    Article
  12. Article
  13. Biomedical optics express · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

17 more citing papers are in PubMed but not listed here.

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

14 authors at 5 institutions in 2 countries.

Lynn W SunDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Ryan D JohnsonDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Christopher S LangloDepartment of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Robert F CooperDepartment of Biomedical Engineering, Marquette University, Milwaukee, Wisconsin, United States.
Moataz M RazeenAlexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Madia C RussilloDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Alfredo DubraDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States 2Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, Wisconsin, United States 3Department of Biomedical Engineering, Ma.
Thomas B ConnorDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Dennis P HanDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Mark E PennesiCasey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.
Christine N KayVitreo Retinal Associates, Gainesville, Florida, United States.
David V WeinbergDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Kimberly E StepienDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Joseph CarrollDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States 2Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, Wisconsin, United States 3Department of Biomedical Engineering, Ma.
Medical College of Wisconsin · USMarquette University · USAlexandria University · EGOregon Health & Science University · USRetina Vitreous Associates of Florida · US

Funding

MORPHOLOGY MODULEP30EY001931 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI LINK, BRIAN A · 1985 to 2016
$9.8M
Assessing Photoreceptor Structure and Function in Normal and Diseased RetinaeR01EY017607 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI Joseph Carroll · 2008 to 2026
$8.3M
Medical Scientist Training ProgramT32GM080202 · NIGMS · MEDICAL COLLEGE OF WISCONSIN · PI BARBIERI, JOSEPH T, SALZMAN, NITA H · 2010 to 2024
$5.7M
Platform Technologies for Microscopic Retinal Imaging: Development & TranslationU01EY025477 · NEI · STANFORD UNIVERSITY · PI DUBRA, ALFREDO · 2015 to 2019
$4.4M
Rresearch Training Program in Vision ScienceT32EY014537 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI Elena V Semina · 2002 to 2026
$4.2M
VISION RES LAB: HERPETIC KERATIC, CORE PIGMENT GENES, RETINITIS PIGMENTOSAC06RR016511 · NCRR · MEDICAL COLLEGE OF WISCONSIN · PI DUNN, MICHAEL J · 2002 to 2002
$1.4M
Serotonin Receptor Modulation of Neurotrophic Factors in the RetinaK08EY021186 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI PENNESI, MARK E · 2011 to 2015
$824k
NCRR NIH HHS C06 RR016511NEI NIH HHS K08 EY021186NEI NIH HHS P30 EY001931NEI NIH HHS R01 EY017607NEI NIH HHS T32 EY014537NEI NIH HHS U01 EY025477NIGMS NIH HHS T32 GM080202
6 · The paper itself

Abstract

purposeThe purpose of this study was to examine cone photoreceptor structure in retinitis pigmentosa (RP) and Usher syndrome using confocal and nonconfocal split-detector adaptive optics scanning light ophthalmoscopy (AOSLO).

methodsNineteen subjects (11 RP, 8 Usher syndrome) underwent ophthalmic and genetic testing, spectral-domain optical coherence tomography (SD-OCT), and AOSLO imaging. Split-detector images obtained in 11 subjects (7 RP, 4 Usher syndrome) were used to assess remnant cone structure in areas of altered cone reflectivity on confocal AOSLO.

resultsDespite normal interdigitation zone and ellipsoid zone appearance on OCT, foveal and parafoveal cone densities derived from confocal AOSLO images were significantly lower in Usher syndrome compared with RP. This was due in large part to an increased prevalence of non-waveguiding cones in the Usher syndrome retina. Although significantly correlated to best-corrected visual acuity and foveal sensitivity, cone density can decrease by nearly 38% before visual acuity becomes abnormal. Aberrantly waveguiding cones were noted within the transition zone of all eyes and corresponded to intact inner segment structures. These remnant cones decreased in density and increased in diameter across the transition zone and disappeared with external limiting membrane collapse.

conclusionsFoveal cone density can be decreased in RP and Usher syndrome before visible changes on OCT or a decline in visual function. Thus, AOSLO imaging may allow more sensitive monitoring of disease than current methods. However, confocal AOSLO is limited by dependence on cone waveguiding, whereas split-detector AOSLO offers unambiguous and quantifiable visualization of remnant cone inner segment structure. Confocal and split-detector thus offer complementary insights into retinal pathology.

Indexed as

AdolescentAdultAgedFemaleFovea CentralisHumansMaleMiddle AgedOphthalmoscopyPhotoreceptor Cells, VertebrateRetinitis PigmentosaSeverity of Illness IndexTomography, Optical CoherenceUsher SyndromesVisual AcuityYoung Adult

Identifiers

PMID27145477
PMCPMC5089122
OpenAlexW2347066623

What OpenQuestion holds

Textmetadata
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.