Evidence map›Paper›PMID 29040211›Full record

ArticleJournal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society2018

Altered Macular Microvasculature in Mild Cognitive Impairment and Alzheimer Disease.

Hong Jiang, Yantao Wei, Yingying Shi, Clinton B Wright, Xiaoyan Sun, Giovanni Gregori, Fang Zheng, Elizabeth A Vanner, Byron L Lam, Tatjana Rundek and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05475158 (Comparison of Optical Coherence Tomography Angiographic Factors of Macula and Optic Disc in Patients With or Without Amyloid Pathology), which is not on this map. Cited by 121 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 11 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.

NCT05475158 completednot on this mapstarted 2019, after this paper: background citation

Comparison of Optical Coherence Tomography Angiographic Factors of Macula and Optic Disc in Patients With or Without Amyloid Pathology: A Prospective Study

TypeobservationalSponsorPusan National University HospitalRan2019 to 2021Enrolled117ConditionsAlzheimer Disease, Amyloid Angiopathy, Macular Ischemia, Dementia
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  19. Retinal Vasculature in Schizophrenia Spectrum Disorder.Bioengineering (Basel, Switzerland) · 2025
    Article
  20. Ocular changes as potential biomarkers for early diagnosis of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review

61 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

11 authors.

Hong JiangDepartment of Ophthalmology (HJ, YW, YS, GG, FZ, EAV, BLL, JW), Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida; Department of Neurology (HJ, CBW, XS, TR), Evelyn F. McKnight Brain Institute, University of Miami Miller School of Medicine, Miami, Florida; State Key Laboratory of Ophthalmology (YW), Zhongshan Ophthalmic Centre, Sun Yat-sen University, Guangzhou, Guangdong, China; and BioStatistics Center (EAV), Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Yantao Wei
Yingying Shi
Clinton B Wright
Xiaoyan Sun
Giovanni Gregori
Fang Zheng
Elizabeth A Vanner
Byron L Lam
Tatjana Rundek
Jianhua Wang

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Victor L Perez · 2004 to 2026
$12.2M
NEI NIH HHS P30 EY014801
6 · The paper itself

Abstract

backgroundThe goal of the present study was to analyze the macular microvacular network in mild cognitive impirment (MCI) and Alzheimer disease (AD).

methodsTwelve patients with AD and 19 patients with MCI were recruited together with 21 cognitively normal controls with a similar range of ages. Optical coherence tomography angiography was used to image the retinal microvascular network at the macular region, including retinal vascular network (RVN), superficial vascular plexus (SVP), and deep vascular plexus (DVP). Fractal analysis (box counting, Dbox) representing the microvascular density was performed in different annular zones and quadrantal sectors. The macular ganglion cell-inner plexiform layer (GC-IPL) thickness was measured using Zeiss OCT. The relationship between the retinal microvasculature and clinical manifestations was analyzed.

resultsPatients with AD had lower densities of RVN, SVP, and DVP in the annulus, from 0.6 to 2.5 mm in diameter (P < 0.05) in comparison with controls. Patients with MCI had lower density of DVP in the superior nasal quadrant (P < 0.05) than that of the controls. There were no significant differences of GC-IPL thickness among groups (P > 0.05). There was a trend of vascular density loss from control to MCI then AD (P < 0.05). Retinal microvascular density of DVP was correlated with GC-IPL thickness (P < 0.05) in patients with AD, but not in patients with MCI and controls.

conclusionsPatients with AD had less density of retinal microvascular networks than controls. Our findings suggest the presence of retinal microvascular dysfunction in AD.

Indexed as

AgedAlzheimer DiseaseCognitive DysfunctionDisease ProgressionFemaleFluorescein AngiographyFundus OculiHumansMacula LuteaMaleMicrovesselsNerve FibersRetinal Ganglion CellsRetinal PerforationsTomography, Optical Coherence

Identifiers

PMID29040211
PMCPMC5902666

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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.