Evidence map›Paper›PMID 30051487›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2018

Subtle changes in diabetic retinas localised in 3D using OCT.

Edmund Arthur, Joel A Papay, Bryan P Haggerty, Christopher A Clark, Ann E Elsner

Abstract read
In one paragraph

Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Association and Multimodal Model of Retinal Mid-Peripheral Capillary Free Zones with Structural and Functional Parameters in Diabetic Patients Without Clinical Retinopathy.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  3. Article
  4. Photoreceptor layer elevation due to subretinal fluid: Impact on visual acuity measurements and simulation from biometrics.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  5. Quantifying Putative Retinal Gliosis in Preclinical Alzheimer's Disease.Investigative ophthalmology & visual science · 2024
    Article
  6. Article
  7. Cone Photoreceptors in Diabetic Patients.Frontiers in medicine · 2022
    Article
  8. Imaging the Retinal Vasculature.Annual review of vision science · 2021
    Review
  9. Article
  10. Cones in ageing and harsh environments: the neural economy hypothesis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2020
    Review
  11. Article
  12. Article
  13. 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

5 authors.

Edmund ArthurIndiana University School of Optometry, Bloomington, USA.ORCID 0000-0002-1577-7950
Joel A PapayIndiana University School of Optometry, Bloomington, USA.
Bryan P HaggertyIndiana University School of Optometry, Bloomington, USA.
Christopher A ClarkIndiana University School of Optometry, Bloomington, USA.
Ann E ElsnerIndiana University School of Optometry, Bloomington, USA.

Funding

SPATIAL EXTENT OF RETINAL DAMAGER01EY007624 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI ELSNER, ANN E · 1995 to 2012
$4.4M
Adaptive Optics Imaging of Human Retinal Vascular Structure and FunctionR01EY024315 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI BURNS, STEPHEN A · 2015 to 2024
$4.3M
Lowering the Cost of Imaging for Retinal Microvasculature in Diabetic PatientsR41EY026105 · NEI · AEON IMAGING, LLC · PI ELSNER, ANN E · 2015 to 2015
$222k
Indiana University School of OptometryNEI NIH HHS R01 EY007624NEI NIH HHS R01 EY024315NEI NIH HHS R41 EY026105NIH HHS EY007624NIH HHS EY024315NIH HHS EY026105
6 · The paper itself

Abstract

purposeTo detect and localise subtle changes in retinas of diabetic patients who clinically have no diabetic retinopathy (DR) or non-proliferative DR (NPDR) as compared to age- and sex- matched controls. Spectral Domain Optical Coherence Tomography (SD-OCT) and software to examine all retinal layers, including deeper layers, were used to quantify foveal avascular zone size and inner and outer retinal layer thicknesses, as well as to detect axial location of prominent lesions.

methodsDiabetic subjects, 19 total with 16 having no DR and three having non-proliferative retinopathy, were matched with 19 controls with respect to age and sex. Macular-centred SD-OCT grids of 20 × 15° were taken with the Spectralis. En face or transverse images were generated from the SD-OCT data by automatically segmenting all retinal layers. The transverse images were investigated for foveal avascular zone (FAZ) size, retinal vessel calibre, and structural changes. The size of the FAZ was compared for diabetics vs controls using vendor software and manual marking in Photoshop. Inner retinal layer (IRL

resultsThe FAZ area was larger for diabetics (mean ± S.D. = 0.388 ± 0.074 mm

conclusionsOur results demonstrate changes in inner and outer diabetic retinas not readily detectable by clinical exam. IRL

Indexed as

Imaging, Three-DimensionalAdultAgedCase-Control StudiesDiabetic RetinopathyDisease ProgressionFemaleFollow-Up StudiesFovea CentralisHumansMaleMiddle AgedReproducibility of ResultsRetinal Ganglion CellsSeverity of Illness IndexTomography, Optical Coherencediabetic macular oedemadiabetic retinopathyfoveal avascular zoneimagingoptical coherence tomographytransverse

Identifiers

PMID30051487
PMCPMC6202252

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.