Evidence map›Paper›PMID 30481280›Full record

ArticleInvestigative ophthalmology & visual science2018

Association of Microaneurysms on Adaptive Optics Scanning Laser Ophthalmoscopy With Surrounding Neuroretinal Pathology and Visual Function in Diabetes.

Jan Lammer, Sonja G Karst, Michael M Lin, Michael Cheney, Paolo S Silva, Stephen A Burns, Lloyd Paul Aiello, Jennifer K Sun

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Jan LammerBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Sonja G KarstBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Michael M LinBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Michael CheneyBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Paolo S SilvaBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Stephen A BurnsSchool of Optometry, Indiana University, Bloomington, Indiana, United States.
Lloyd Paul AielloBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Jennifer K SunBeetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts, United States.
Harvard University · USJoslin Diabetes Center · USMedical University of Vienna · ATIndiana University Bloomington · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Adaptive Optics Imaging of Human Retinal Vascular Structure and FunctionR01EY024315 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI BURNS, STEPHEN A · 2015 to 2024
$4.3M
Core Support for Vision Research at Indiana UniversityP30EY019008 · NEI · TRUSTEES OF INDIANA UNIVERSITY · PI BURNS, STEPHEN A · 2009 to 2013
$2.1M
Long Stroke Wavefront Correctors for Retinal ImagingR44EY016295 · NEI · BOSTON MICROMACHINES CORPORATION · PI BIERDEN, PAUL ARTHUR · 2007 to 2013
$2.1M
Predicting Outcomes & Anti-VEGF Response in Diabetic Eyes by Adaptive Optics SLOR01EY024702 · NEI · JOSLIN DIABETES CENTER · PI SUN, JENNIFER KATHERINE · 2014 to 2018
$1.7M
NEI NIH HHS P30 EY019008NEI NIH HHS R01 EY024315NEI NIH HHS R01 EY024702NEI NIH HHS R44 EY016295NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

Purpose: We evaluate diabetic microaneurysm (MA) features on high-resolution adaptive optics scanning laser ophthalmoscopy (AOSLO) and their correlations with visual acuity (VA) and local retinal pathology on spectral domain optical coherence tomography (SDOCT). Methods: Diabetic participants underwent VA testing and AOSLO and SDOCT imaging of MAs. AOSLO images were graded for MA dimension, wall hyperreflectivity (WH), intraluminal hyperreflectivity (IH), and perfusion pattern. SDOCTs centered on each MA were graded for disorganization of the retinal inner layers (DRIL) and other neuroretinal pathology. Results: We imaged 109 MAs (30 eyes). Multivariate modeling, including statistically significant covariates from bivariate analyses, associated WH with greater MA size (P = 0.001) and DRIL (P = 0.04). IH was associated with perfusion (P = 0.003) and MA visibility on photographs (P = 0.0001), and larger MA size with partial perfusion (P = 0.03), MA ring signs (P = 0.0002), and photographic visibility (P = 0.01). Multivariate modeling revealed an association of WH and VA with DRIL. Conclusions: AOSLO imaging demonstrates associations of hyperreflective MA walls with MA size and adjacent DRIL, as well as the presence of DRIL with lower VA. This study identifies a correlation between vascular and neural pathology associated with VA decline. Further studies of MA structure and neuroretinal disorganization may enable novel approaches to assess anatomic and functional outcomes in the diabetic eye.

Indexed as

AdultCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic RetinopathyFemaleGlycated HemoglobinHumansMaleMicroaneurysmMiddle AgedOphthalmoscopyOptics and PhotonicsRetinaRetinal VesselsTomography, Optical CoherenceGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID30481280
PMCPMC6262647
OpenAlexW2902910017

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.