Evidence map›Paper›PMID 30009090›Full record

ArticleTranslational vision science & technology2018

Parafoveal Nonperfusion Analysis in Diabetic Retinopathy Using Optical Coherence Tomography Angiography.

Brian D Krawitz, Erika Phillips, Richard D Bavier, Shelley Mo, Joseph Carroll, Richard B Rosen, Toco Y P Chui

Open access · goldAbstract 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. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Preferential Sites of Retinal Capillary Occlusion in Sickle Cell Disease.Investigative ophthalmology & visual science · 2025
    Article
  10. Article
  11. Article
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  13. Article
  14. Article
  15. Optical coherence tomography angiography in diabetic retinopathy.Progress in retinal and eye research · 2023
    Review
  16. Assessing the Sensitivity of OCT-A Retinal Vasculature Metrics.Translational vision science & technology · 2023
    Article
  17. Article
  18. Article
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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

7 authors at 3 institutions in 1 country.

Brian D KrawitzIcahn School of Medicine at Mount Sinai, New York City, NY, USA.
Erika PhillipsOphthalmology and Visual Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Richard D BavierOphthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York City, NY, USA.
Shelley MoIcahn School of Medicine at Mount Sinai, New York City, NY, USA.
Joseph CarrollOphthalmology and Visual Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Richard B RosenIcahn School of Medicine at Mount Sinai, New York City, NY, USA.
Toco Y P ChuiIcahn School of Medicine at Mount Sinai, New York City, NY, USA.
New York Eye and Ear Infirmary · USIcahn School of Medicine at Mount Sinai · USMedical College of Wisconsin · US

Funding

MORPHOLOGY MODULEP30EY001931 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI LINK, BRIAN A · 1985 to 2016
$9.8M
Characterization of vascular responses to intravitreal anti-VEGF injections in diabetic retinopathyR01EY027301 · NEI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Yuen Ping Toco Chui · 2017 to 2026
$4.0M
Retinal Versus Cortical Contributions to Vision Loss in AlbinismR01EY024969 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI CARROLL, JOSEPH, DEYOE, EDGAR A · 2015 to 2018
$2.0M
NEI NIH HHS P30 EY001931NEI NIH HHS R01 EY024969NEI NIH HHS R01 EY027301
6 · The paper itself

Abstract

purposeTo describe a new technique for mapping parafoveal intercapillary areas (PICAs) using optical coherence tomography angiography (OCTA), and demonstrate its utility for quantifying parafoveal nonperfusion in diabetic retinopathy (DR).

methodsNineteen controls, 15 diabetics with no retinopathy (noDR), 15 with nonproliferative diabetic retinopathy (NPDR), and 15 with proliferative diabetic retinopathy (PDR) were imaged with 10 macular OCTA scans. PICAs were automatically delineated on the averaged superficial OCTA images. Following creation of an eccentricity-specific reference database from the controls, all PICAs greater than 2 SD above the reference means for PICA area and minor axis length were identified as nonperfused areas. Regions of interest (ROI) at 300 μm and 1000 μm from the foveal avascular zone (FAZ) margin were analyzed. Percent nonperfused area was defined as summed nonperfused areas divided by ROI area. Values were compared using Kruskal-Wallis and post-hoc Mann-Whitney

resultsMedian values for total percent nonperfused area at the 300-μm ROI were 2.09, 2.44, 18.08, and 27.55 in the control, noDR, NPDR, and PDR groups, respectively. Median values at the 1000-μm ROI were 3.10, 3.31, 13.42, and 23.00. While there were no significant differences between the control and noDR groups, significant differences were observed between all other groups at both ROIs.

conclusionsPercent nonperfused area can quantify parafoveal nonperfusion in DR and can be calculated through automatic delineation of PICAs in an eccentricity-specific manner using a standard deviation mapping approach. TRANSLATIONAL RELEVANCE: Percent nonperfused area shows promise as a metric to measure disease severity in diabetic retinopathy.

Indexed as

diabetic retinopathyintercapillary areasnonperfusionoptical coherence tomography angiography

Identifiers

PMID30009090
PMCPMC6042523
OpenAlexW2883659027

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.