Evidence map›Paper›PMID 29890160›Full record

ArticleAmerican journal of ophthalmology2018

Longitudinal Changes of Fixation Location and Stability Within 12 Months in Stargardt Disease: ProgStar Report No. 12.

Etienne M Schönbach, Rupert W Strauss, Xiangrong Kong, Beatriz Muñoz, Mohamed A Ibrahim, Janet S Sunness, David G Birch, Gesa-Astrid Hahn, Fadi Nasser, Eberhart Zrenner and 4 more

Abstract readMulticenter Study
In one paragraph

Article in American journal of ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Preferred Retinal Locus in Juvenile Macular Dystrophy.Turkish journal of ophthalmology · 2025
    Article
  4. Review
  5. Article
  6. Clinical Perspectives and Trends: Microperimetry as a Trial Endpoint in Retinal Disease.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2021
    Review
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
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

14 authors.

Etienne M SchönbachWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA; Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Rupert W StraussWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA; Department of Ophthalmology, Medical University, Graz, Austria; Moorfields Eye Hospital, London, UK; Department of Ophthalmology, Johannes Kepler University, Linz, Austria.
Xiangrong KongWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA; Department of Biostatistics and Epidemiology, University of Massachusetts-Amherst, Amherst, Massachusetts, USA.
Beatriz MuñozWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA.
Mohamed A IbrahimWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA.
Janet S SunnessHoover Low Vision Rehabilitation Services, Greater Baltimore Medical Center, Baltimore, Maryland, USA.
David G BirchRetina Foundation of the Southwest, Dallas, Texas, USA.
Gesa-Astrid HahnCenter for Ophthalmology, Eberhard Karls Universität, Tübingen, Germany.
Fadi NasserCenter for Ophthalmology, Eberhard Karls Universität, Tübingen, Germany.
Eberhart ZrennerCenter for Ophthalmology, Eberhard Karls Universität, Tübingen, Germany.
SriniVas R SaddaDoheny Eye Institute, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
Sheila K WestWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA.
Hendrik P N SchollWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA; Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland; Department of Ophthalmology, University of Basel, Basel, Switzerland. Electronic address: Hendrik.Scholl@usb.ch.
ProgStar Study Group

Funding

MEASURES OF HUMAN RECEPTOR AND POST RECEPTOR ACTIVITYR01EY009076 · NEI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI BIRCH, DAVID G, HOOD, DONALD C. · 1991 to 2021
$8.3M
RETINAL PATHOPHYSIOLOGY OF INFANTS AND ADULTSR01EY005235 · NEI · RETINA FOUNDATION OF THE SOUTHWEST · PI BIRCH, DAVID G · 1985 to 2005
$1.6M
NEI NIH HHS R01 EY005235NEI NIH HHS R01 EY009076
6 · The paper itself

Abstract

purposeTo investigate the natural history of Stargardt disease (STGD1) using fixation location and fixation stability.

designMulticenter, international, prospective cohort study.

methodsFixation testing was performed using the Nidek MP-1 microperimeter as part of the prospective, multicenter, natural history study on the Progression of Stargardt disease (ProgStar). A total of 238 patients with ABCA4-related STGD1 were enrolled at baseline (bilateral enrollment in 86.6%) and underwent repeat testing at months 6 and 12.

resultsOutcome measures included the distance of the preferred retinal locus from the fovea (PRL) and the bivariate contour ellipse area (BCEA). After 12 months of follow-up, the change in the eccentricity of the PRL from the anatomic fovea was -0.0014 degrees (95% confidence interval [CI], -0.27 degrees, 0.27 degrees; P = .99). The deterioration in the stability of fixation as expressed by a larger BCEA encompassing 1 standard deviation of all fixation points was 1.21 degrees squared (deg

conclusionsOur observations point to the complexity of fixation parameters. The association of increasingly eccentric and unstable fixation with longer disease duration that is typically found in cross-sectional studies may be countered within individual patients by poorly understood processes like neuronal adaptation. Nevertheless, fixation parameters may serve as useful secondary outcome parameters in selected cases and for counseling patients to explain changes to their visual functionality.

Indexed as

AdolescentAdultAgedChildFemaleFixation, OcularFollow-Up StudiesHumansMacular DegenerationMaleMiddle AgedProspective StudiesRetinaStargardt DiseaseVisual AcuityVisual Fields

Identifiers

PMID29890160
PMCPMC7083180

What OpenQuestion holds

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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.