Evidence map›Paper›PMID 27409505›Full record

Observational studyInvestigative ophthalmology & visual science2016

Optical Coherence Tomography Angiography Vessel Density in Healthy, Glaucoma Suspect, and Glaucoma Eyes.

Adeleh Yarmohammadi, Linda M Zangwill, Alberto Diniz-Filho, Min Hee Suh, Patricia Isabel Manalastas, Naeem Fatehee, Siamak Yousefi, Akram Belghith, Luke J Saunders, Felipe A Medeiros and 2 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Investigative ophthalmology & visual science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00221897 (Diagnostic Innovations in Glaucoma Study), which is not on this map. Cited by 244 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 1 pooled it
56.0field-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.

NCT00221897 recruitingnot on this map

Diagnostic Innovations in Glaucoma Study

TypeobservationalSponsorUniversity of California, San DiegoRan1995 to 2030Enrolled3,000ConditionsPrimary Open Angle Glaucoma, Myopia
3 · Its place in the literature

Who cites it

244 citing papers in PubMed, 1 synthesis or guideline pooled it, 500 citations in OpenAlex.

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  6. Nonaxonal content of the circumpapillary retinal nerve fiber layer in experimental glaucoma.Optometry and vision science : official publication of the American Academy of Optometry · 2026
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184 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

12 authors at 4 institutions in 3 countries.

Adeleh YarmohammadiHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Linda M ZangwillHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Alberto Diniz-FilhoHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States 2Department of Ophthalmology and Otorhinolaryngology, Federal University of Minas Gerais, Belo Horizonte.
Min Hee SuhHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States 3Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Ko.
Patricia Isabel ManalastasHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Naeem FateheeHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Siamak YousefiHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Akram BelghithHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Luke J SaundersHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
Felipe A MedeirosHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
David HuangCasey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.
Robert N WeinrebHamilton Glaucoma Center Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, La Jolla, California, United States.
University of California, San Diego · USInje University Haeundae Paik Hospital · KROregon Health & Science University · USUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to compare retinal nerve fiber layer (RNFL) thickness and optical coherence tomography angiography (OCT-A) retinal vasculature measurements in healthy, glaucoma suspect, and glaucoma patients.

methodsTwo hundred sixty-one eyes of 164 healthy, glaucoma suspect, and open-angle glaucoma (OAG) participants from the Diagnostic Innovations in Glaucoma Study with good quality OCT-A images were included. Retinal vasculature information was summarized as a vessel density map and as vessel density (%), which is the proportion of flowing vessel area over the total area evaluated. Two vessel density measurements extracted from the RNFL were analyzed: (1) circumpapillary vessel density (cpVD) measured in a 750-μm-wide elliptical annulus around the disc and (2) whole image vessel density (wiVD) measured over the entire image. Areas under the receiver operating characteristic curves (AUROC) were used to evaluate diagnostic accuracy.

resultsAge-adjusted mean vessel density was significantly lower in OAG eyes compared with glaucoma suspects and healthy eyes. (cpVD: 55.1 ± 7%, 60.3 ± 5%, and 64.2 ± 3%, respectively; P < 0.001; and wiVD: 46.2 ± 6%, 51.3 ± 5%, and 56.6 ± 3%, respectively; P < 0.001). For differentiating between glaucoma and healthy eyes, the age-adjusted AUROC was highest for wiVD (0.94), followed by RNFL thickness (0.92) and cpVD (0.83). The AUROCs for differentiating between healthy and glaucoma suspect eyes were highest for wiVD (0.70), followed by cpVD (0.65) and RNFL thickness (0.65).

conclusionsOptical coherence tomography angiography vessel density had similar diagnostic accuracy to RNFL thickness measurements for differentiating between healthy and glaucoma eyes. These results suggest that OCT-A measurements reflect damage to tissues relevant to the pathophysiology of OAG.

Indexed as

Fluorescein AngiographyFundus OculiGlaucomaGonioscopyHumansIntraocular PressureOptic DiskPerioperative CareReproducibility of ResultsRetinal Ganglion CellsRetinal VesselsTomography, Optical CoherenceVisual AcuityVisual Fields

Identifiers

PMID27409505
PMCPMC4968912
OpenAlexW2473577401

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.