Evidence map›Paper›PMID 27847691›Full record

ArticleTranslational vision science & technology2016

A Single Wide-Field OCT Protocol Can Provide Compelling Information for the Diagnosis of Early Glaucoma.

Donald C Hood, Nicole De Cuir, Dana M Blumberg, Jeffrey M Liebmann, Ravivarn Jarukasetphon, Robert Ritch, Carlos G De Moraes

Erratum issuedAbstract read
In one paragraph

Article in Translational vision science & technology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Article
  2. A Pattern-Based OCT Metric for Glaucoma Detection.Translational vision science & technology · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. A Model of Progression to Help Identify Macular Damage Due to Glaucoma.Investigative ophthalmology & visual science · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Diagnostic Accuracy of Imaging Devices in Glaucoma: An Updated Meta-Analysis.Medical journal of the Islamic Republic of Iran · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Donald C HoodDepartment of Psychology, Columbia University, New York, NY, USA ; Department of Ophthalmology, Columbia University, New York, NY, USA.
Nicole De CuirDepartment of Psychology, Columbia University, New York, NY, USA ; The College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Dana M BlumbergDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Jeffrey M LiebmannDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Ravivarn JarukasetphonEinhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Robert RitchEinhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Carlos G De MoraesDepartment of Ophthalmology, Columbia University, New York, NY, USA.

Funding

Tests of Models of Retinal/Optic Nerve Diseases&AdaptionR01EY002115 · NEI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HOOD, DONALD C. · 1985 to 2018
$7.4M
Structural and Functional Progression of Glaucomatous Damage to the MaculaR01EY025253 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DE MORAES, CARLOS GUSTAVO · 2015 to 2017
$1.2M
NEI NIH HHS R01 EY002115NEI NIH HHS R01 EY025253
6 · The paper itself

Abstract

purposeTo evaluate a report for glaucoma diagnosis based on a single optical coherence tomography (OCT) protocol.

methodsA wide-field (9 × 12 mm) swept-source (SS) OCT scan, encompassing the macula and disc, was obtained on 130 eyes (patients) with or suspected open-angle glaucoma, a mean deviation greater than or equal to -6 dB on a 24-2 visual field (VF), and spherical refractive error between ± 6 diopters (D). The single-page report contained a circumpapillary retinal nerve fiber layer (cpRNFL) thickness plot; retinal ganglion cell layer and retinal nerve fiber layer (RNFL) thickness and probability plots of the macula and optic nerve; and an enface slab image of the optic nerve. A report specialist judged each eye as healthy (H); probably healthy (PH); forced-choice healthy (FC-H); optic neuropathy (ON); probably ON (PON); forced-choice optic neuropathy (FC-ON). Two glaucoma specialists made similar judgments about the presence of glaucomatous damage. The glaucoma specialists had 24-2 and 10-2 VFs, fundus photos, patient chart information, and the single-page report including the report specialist's interpretation.

resultsThe reference standard consisted of 57 eyes judged as glaucomatous (ON or PON) and 45 eyes judged as healthy (H or PH) by both glaucoma specialists. The report specialist identified 56 of the glaucomatous eyes as optic neuropathy (i.e., ON, PON, or FC-ON), and 44 of the healthy eyes as healthy (i.e., H, PH, or FC-H), an accuracy of 98.0%.

conclusionsA single-page report based upon a single, wide-field OCT scan has the information needed to diagnose early glaucoma with excellent sensitivity/specificity. TRANSLATIONAL RELEVANCE: It is possible that screening for glaucoma can be effective with only a single OCT protocol.

Indexed as

glaucomamaculaoptic discretinal ganglion cells, retinal nerve fiber layer

Identifiers

PMID27847691
PMCPMC5106198

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.