Evidence map›Paper›PMID 29372250›Full record

ArticleInvestigative ophthalmology & visual science2018

Approach for a Clinically Useful Comprehensive Classification of Vascular and Neural Aspects of Diabetic Retinal Disease.

Michael D Abramoff, Patrice E Fort, Ian C Han, K Thiran Jayasundera, Elliott H Sohn, Thomas W Gardner

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
9.5field-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.

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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Article
  5. Early Retinal Changes Detected Using Optical Coherence Tomography Angiography in Youth with Type 1 Diabetes Mellitus: A Case-Control Study.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2026
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  9. Diabetic retinal disease.Nature reviews. Disease primers · 2025
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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

6 authors at 3 institutions in 1 country.

Michael D AbramoffDepartment of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa, United States.
Patrice E FortDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, United States.
Ian C HanDepartment of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa, United States.
K Thiran JayasunderaDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, United States.
Elliott H SohnDepartment of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa, United States.
Thomas W GardnerDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, United States.
University of Iowa · USMichigan United · USUniversity of Michigan–Ann Arbor · US

Funding

Integrated Systems Biology Approach to Diabetic Microvascular ComplicationsR24DK082841 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABCOUWER, STEVEN F, BROSIUS, FRANK C · 2008 to 2020
$13.1M
Stem Cell and Organoid CoreP30EY025580 · NEI · UNIVERSITY OF IOWA · PI TODD E SCHEETZ · 2016 to 2026
$6.9M
Regulation of Retinal Cell Death in DiabetesR01EY020582 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABCOUWER, STEVEN F, GARDNER, THOMAS W. · 2010 to 2018
$4.0M
Progressive Impact of Diabetes on Retinal Neuroprotection by ?-CrystallinsR01EY020895 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FORT, PATRICE E. · 2012 to 2019
$3.2M
Retinal Therapy Guided by 3-D OCT Image AnalysisR01EY019112 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, SONKA, MILAN · 2010 to 2014
$2.6M
Three-dimensional structure-function relationships in glaucoma from SD-OCTR01EY018853 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, KWON, YOUNG H. · 2009 to 2016
$2.6M
Choroidal Disease Mechanisms in AMDR01EY026547 · NEI · UNIVERSITY OF IOWA · PI SOHN, ELLIOTT H · 2016 to 2020
$1.9M
Targeted functional testing for retinal diseases based on patient reported outcomesK23EY026985 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAYASUNDERA, KANISHKA THIRAN · 2016 to 2020
$1.2M
NEI NIH HHS K23 EY026985NEI NIH HHS P30 EY025580NEI NIH HHS R01 EY018853NEI NIH HHS R01 EY019112NEI NIH HHS R01 EY020582NEI NIH HHS R01 EY020895NEI NIH HHS R01 EY026547NIDDK NIH HHS R24 DK082841
6 · The paper itself

Abstract

The Early Treatment Diabetic Retinopathy Study (ETDRS) and other standardized classification schemes have laid a foundation for tremendous advances in the understanding and management of diabetic retinopathy (DR). However, technological advances in optics and image analysis, especially optical coherence tomography (OCT), OCT angiography (OCTa), and ultra-widefield imaging, as well as new discoveries in diabetic retinal neuropathy (DRN), are exposing the limitations of ETDRS and other classification systems to completely characterize retinal changes in diabetes, which we term diabetic retinal disease (DRD). While it may be most straightforward to add axes to existing classification schemes, as diabetic macular edema (DME) was added as an axis to earlier DR classifications, doing so may make these classifications increasingly complicated and thus clinically intractable. Therefore, we propose future research efforts to develop a new, comprehensive, and clinically useful classification system that will identify multimodal biomarkers to reflect the complex pathophysiology of DRD and accelerate the development of therapies to prevent vision-threatening DRD.

Indexed as

BiomarkersDiabetic RetinopathyFluorescein AngiographyHumansMultimodal ImagingRetinal NeuronsRetinal VesselsTomography, Optical CoherenceBiomarkers

Identifiers

PMID29372250
PMCPMC5786342
OpenAlexW2785286954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.