Evidence map›Paper›PMID 29131903›Full record

ArticleInvestigative ophthalmology & visual science2017

Slow Reading in Glaucoma: Is it due to the Shrinking Visual Span in Central Vision?

MiYoung Kwon, Rong Liu, Bhavika N Patel, Christopher Girkin

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Effect of Visual Crowding on Quality of Life in Glaucoma Patients.Investigative ophthalmology & visual science · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Clinical risk stratification in glaucoma.Eye (London, England) · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

4 authors at 1 institution in 1 country.

MiYoung KwonDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Rong LiuDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Bhavika N PatelDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Christopher GirkinDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States.
University of Alabama at Birmingham · US

Funding

Perceptual mechanisms underlying reading difficulties in glaucomaR01EY027857 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KWON, MIYOUNG · 2017 to 2021
$1.8M
NEI NIH HHS R01 EY027857
6 · The paper itself

Abstract

Purpose: Glaucoma is a leading cause of blindness worldwide, characterized by progressive loss of retinal ganglion cells. Patients with bilateral glaucoma read slower than normal cohorts. Here we examined the factors that may underlie slow reading in glaucoma and determined the best predictor of reading speed in glaucoma. Methods: A total of 38 subjects participated in this study: 17 patients with primary open-angle glaucoma (mean age = 64.71 years) and 21 age-similar normal controls (58.24 years). For each subject, we measured binocular visual acuity (BVA); binocular contrast sensitivity (BCS); stereoacuity; visual field mean deviation (MD); and the visual span (i.e., the number of letters recognizable at one glance) known to limit reading speed. The visual span was measured with a trigram letter-recognition task in which subjects identify trigrams flashed at varying letter positions left and right of the fixation. Oral reading speed was measured with short blocks of text. Results: Even after controlling for age, glaucoma patients showed significantly slower reading speed (by 19%, P < 0.05) and smaller visual span (by 11 bits, P < 0.001) compared to normal controls. While their BVA was relatively normal (20/20 Snellen equivalent), their BCS (P < 0.001); stereoacuity (P < 0.001); and visual field MD (P < 0.001) showed pronounced deficits. Multiple regression analysis further revealed that reading speed in glaucoma was best predicted by the visual span. Conclusions: Our results showed that slower reading speed in glaucoma was closely related to the shrinkage of the visual span. Our findings further support the view that the visual span plays a limiting role in reading speed.

Indexed as

AgedAged, 80 and overAttentionDyslexiaFemaleGlaucoma, Open-AngleHumansMaleMiddle AgedPsychophysicsSensory ThresholdsVision, BinocularVisual AcuityVisual FieldsVisual Perception

Identifiers

PMID29131903
PMCPMC5808572
OpenAlexW2744062178

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.