Evidence map›Paper›PMID 29694963›Full record

ArticleOphthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde2018

Treatment of Macular Degeneration with Sildenafil: Results of a Two-Year Trial.

D Jackson Coleman, Winston Lee, Stanley Chang, Ronald H Silverman, Harriet O Lloyd, Suzanne Daly, Stephen H Tsang

Registry-linked trialOpen access · bronzeAbstract readControlled Clinical Trial
In one paragraph

Article in Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04356716 (Sildenafil for Treatment of Choroidal Ischemia), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT04356716 phase2completednot on this map

Sildenafil for Treatment of Choroidal Ischemia

TypeinterventionalSponsorColumbia UniversityRan2014 to 2020Enrolled22ConditionsChoroidal Ischemia, Vitelliform Macular Dystrophy, Age-related Macular Degeneration, Central Serous RetinopathyArmsSildenafil, Standard of Care Sildenafil, Ocular Coherence Tomography-Angiography (OCT-A), Visual Acuity (VA)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Ophthalmic artery angioplasty for age-related macular degeneration.Journal of neurointerventional surgery · 2022
    Article
  7. New focus on regulation of the rod photoreceptor phosphodiesterase.Current opinion in structural biology · 2021
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. 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

7 authors at 1 institution in 1 country.

D Jackson ColemanDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Winston LeeDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Stanley ChangDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Ronald H SilvermanDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Harriet O LloydDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Suzanne DalyDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Stephen H TsangDepartment of Ophthalmology, Columbia University, New York, New York, USA.
Columbia University · US

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Parisa Tehranifar · 1985 to 2026
$115.3M
Instrumentation, Fabrication, and Design CoreP30EY019007 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Xin Zhang · 2010 to 2026
$12.9M
Toward mechanism- and gene-based therapies for retinal degenerationR01EY018213 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Stephen H Tsang · 2008 to 2026
$6.6M
Gene Silencing and Gene Editing in PhototransductionR01EY024698 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Stephen H Tsang · 2015 to 2026
$4.7M
Mechanistic Studies on Regenerative Medicine Approaches to Childhood BlindnessR01EY026682 · NEI · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G, MAHAJAN, VINIT B · 2016 to 2019
$1.6M
Evaluating GWAS AMD Candidate Loci by Gene Editing in Human iPS CellsR21AG050437 · NIA · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G, MAHAJAN, VINIT B · 2015 to 2016
$431k
NCI NIH HHS P30 CA013696NEI NIH HHS P30 EY019007NEI NIH HHS R01 EY018213NEI NIH HHS R01 EY024698NEI NIH HHS R01 EY026682NIA NIH HHS R21 AG050437
6 · The paper itself

Abstract

objectiveTo evaluate PDE5/6 inhibition with sildenafil to reduce choroidal ischemia and treat age-related macular degeneration.

methodsSildenafil was prescribed to treat participants with macular degenerations or macular dystrophies measured by spectral-domain optical coherence tomography, color fundus photography, enhanced depth imaging, and best-corrected visual acuity.

resultsNo change in calcified drusen was noted. Vitelliform-type soft drusen were not substantially changed. A participant with Best vitelliform macular dystrophy had a significant improvement in vision as well as in photoreceptor and ellipsoid layers.

conclusionsOur research supports sildenafil as a safe treatment for age-related and vitelliform macular degenerations. Thickened Bruch's membrane reduces the beneficial effect of perfusion increase, but all eyes appear to benefit from PDE6. Notably, maintenance or improvement in the photoreceptor layer may be the most significant result of sildenafil and is consistent with PDE6 inhibition. Thus, sil-denafil treatment of macular degeneration offers significant potential for vision retention and recovery.

Indexed as

AdultAgedAged, 80 and overCyclic Nucleotide Phosphodiesterases, Type 6FemaleGeographic AtrophyHumansMaleMiddle AgedPhosphodiesterase 5 InhibitorsPilot ProjectsRetinal DrusenSildenafil CitrateTomography, Optical CoherenceVisual AcuityVitelliform Macular DystrophyCyclic Nucleotide Phosphodiesterases, Type 6Phosphodiesterase 5 InhibitorsSildenafil CitrateMacular degenerationPhosphodiesteraseSildenafilViagraWarburg glycolysis

Identifiers

PMID29694963
PMCPMC7597673
OpenAlexW2800697767

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.