Evidence map›Paper›PMID 29651361›Full record

ArticleTranslational vision science & technology2018

Volumetric Measurement of Subretinal Blebs Using Microscope-Integrated Optical Coherence Tomography.

S Tammy Hsu, Hesham Gabr, Christian Viehland, Karim Sleiman, Hoan T Ngo, Oscar M Carrasco-Zevallos, Lejla Vajzovic, Ryan P McNabb, Sandra S Stinnett, Joseph A Izatt and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Translational vision science & technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01588041 (Intraoperative OCT Guidance of Intraocular Surgery), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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.

NCT01588041 completednot on this map

Intraoperative OCT Guidance of Intraocular Surgery

TypeobservationalSponsorDuke UniversityRan2009 to 2018Enrolled269ConditionsEye Manifestations
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Robotising vitreoretinal surgeries.Eye (London, England) · 2025
    Review
  3. Article
  4. New Directions for Ophthalmic OCT - Handhelds, Surgery, and Robotics.Translational vision science & technology · 2025
    Review
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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

12 authors.

S Tammy HsuDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Hesham GabrDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Christian ViehlandDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Karim SleimanDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Hoan T NgoDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Oscar M Carrasco-ZevallosDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Lejla VajzovicDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Ryan P McNabbDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Sandra S StinnettDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Joseph A IzattDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Anthony N KuoDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.
Cynthia A TothDepartment of Ophthalmology, Duke University School of Medicine, Durham, NC, USA.

Funding

Intraoperative OCT Guidance of Intraocular SurgeryR01EY023039 · NEI · DUKE UNIVERSITY · PI IZATT, JOSEPH A, TOTH, CYNTHIA ANN · 2013 to 2016
$3.9M
NEI NIH HHS R01 EY023039
6 · The paper itself

Abstract

purposeWe advance studies of subretinal treatments by developing a microscope-integrated optical coherence tomography (MIOCT) image-based method for measuring the volume of therapeutics delivered into the subretinal space.

methodsA MIOCT image-based volume measurement method was developed and assessed for accuracy and reproducibility by imaging an object of known size in model eyes. This method then was applied to subretinal blebs created by injection of diluted triamcinolone. Bleb volumes obtained from MIOCT were compared to the intended injection volume and the surgeon's estimation of leakage.

resultsValidation of the image-based volume measurement method showed accuracy to ±1.0 μL (6.0% of measured volume) with no statistically significant variation under different imaging settings. When this method was applied to subretinal blebs, four of 11 blebs without surgeon-observed leakage yielded a mean volume of 32 ± 12.5 μL, in contrast to the intended 50 μL volume injected from the delivery device. This constituted a mean difference of -18 μL (mean percent error, 36 ± 25%). For all 11 blebs, the surgeon's estimations of leakage were significantly different from and showed no correlation with the volume loss based on image-based volume measurements (

conclusionsWe validated an accurate and reproducible method for measuring subretinal volumes using MIOCT. Use of this method revealed that the intended volume might not be delivered into the subretinal space. MIOCT can allow for accurate assessment of subretinal dose delivered, which may have therapeutic implications in evaluating the efficacy and toxicity of subretinal therapies. TRANSLATIONAL RELEVANCE: Use of MIOCT can provide feedback on the accuracy of subretinal injection volumes delivered.

Indexed as

drug deliverygene therapyoptical coherence tomographyretinasubretinal space

Identifiers

PMID29651361
PMCPMC5894912

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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.