Evidence map›Paper›PMID 30119799›Full record

ArticleCanadian journal of ophthalmology. Journal canadien d'ophtalmologie2018

Retinal thickness measurements in sickle cell patients with HbSS and HbSC genotype.

Wei S Lim, Tejal Magan, Omar A Mahroo, Pirro G Hysi, Juliana Helou, Moin D Mohamed

Abstract read
In one paragraph

Article in Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Retinal microvascular alterations in sickle cell disease: a systematic review and meta-analysis of OCTA findings based on genotype and stages of retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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

6 authors.

Wei S LimOphthalmology Department, St Thomas' Hospital, London, United Kingdom. Electronic address: weisinglim@nhs.net.
Tejal MaganOphthalmology Department, St Thomas' Hospital, London, United Kingdom.
Omar A MahrooOphthalmology Department, St Thomas' Hospital, London, United Kingdom; NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and the UCL Institute of Ophthalmology, London; Section of Academic Ophthalmology, School of Life Course Sciences(,) Faculty of Life Course Sciences and Medicine, King's College London, St Thomas' Hospital Campus, London, United Kingdom.
Pirro G HysiSection of Academic Ophthalmology, School of Life Course Sciences(,) Faculty of Life Course Sciences and Medicine, King's College London, St Thomas' Hospital Campus, London, United Kingdom.
Juliana HelouOphthalmology Department, St Thomas' Hospital, London, United Kingdom.
Moin D MohamedOphthalmology Department, St Thomas' Hospital, London, United Kingdom.

Funding

Wellcome Trust 206619/Z/17/Z
6 · The paper itself

Abstract

objectiveTemporal macula thinning has been reported in sickle cell patients, but it remains unclear if there is a difference between HbSS and HbSC genotypes. We aimed to quantitatively compare macular thickness between eyes with HbSS and HbSC genotype.

designRetrospective descriptive study.

methodsConsecutive patients seen over a 5.5-year period in the Ophthalmology Department at St Thomas' Hospital, London, were identified. Macular optical coherence tomography images were retrospectively analyzed. The retinal thickness in all 9 subfields of the Early Treatment Diabetic Retinopathy Study (ETDRS) grid was compared between HbSS and HbSC eyes. Right eyes and left eyes were analyzed independently, as well as averaged measurements from both eyes. Comparison was made between the 2 genotypes, adjusting for age and sex, and for multiple testing. Scans were excluded in cases of poor fixation or ocular comorbidity affecting retinal thickness.

results132 HbSC and 120 HbSS patients were identified. Scans from 166 right and 153 left eyes were included (with approximately equal numbers of HbSS and HbSC genotypes). Mean retinal thickness was lower in HbSS eyes compared with HbSC eyes in all subfields of the ETDRS grid, but in most subfields the difference was <10 microns. Differences reached statistical significance for outer superior, inferior, and temporal subfields and the inner temporal subfield (p < 0.05).

conclusionAlthough the HbSC genotype is more strongly associated with proliferative retinopathy, HbSS patients had on average more macular thinning.

Indexed as

AdultAnemia, Sickle CellDiabetic RetinopathyFemaleFollow-Up StudiesGenotypeHemoglobin, SickleHumansMacula LuteaMaleRetrospective StudiesTime FactorsTomography, Optical CoherenceHemoglobin, Sickle

Identifiers

PMID30119799
PMCPMC6117475

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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.