Evidence map›Paper›PMID 30585943›Full record

ArticleJournal of glaucoma2019

Microvasculature of the Optic Nerve Head and Peripapillary Region in Patients With Primary Open-Angle Glaucoma.

Rafaella Nascimento E Silva, Carolina A Chiou, Mengyu Wang, Haobing Wang, Marissa K Shoji, Jonathan C Chou, Erica E D'Souza, Scott H Greenstein, Stacey C Brauner, Milton R Alves and 2 more

Abstract read
In one paragraph

Article in Journal of glaucoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  14. The Neurovascular Unit in Glaucomatous Neurodegeneration.Frontiers in cell and developmental biology · 2020
    Review
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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

12 authors at 2 institutions in 2 countries.

Rafaella Nascimento E SilvaDepartment of Ophthalmology, Massachusetts Eye and Ear.
Carolina A ChiouDepartment of Ophthalmology, Massachusetts Eye and Ear.
Mengyu WangDepartment of Ophthalmology, Massachusetts Eye and Ear.
Haobing WangDepartment of Ophthalmology, Massachusetts Eye and Ear.
Marissa K ShojiDepartment of Ophthalmology, Massachusetts Eye and Ear.
Jonathan C ChouDepartment of Ophthalmology, Massachusetts Eye and Ear.
Erica E D'SouzaDepartment of Ophthalmology, Massachusetts Eye and Ear.
Scott H GreensteinDepartment of Ophthalmology, Massachusetts Eye and Ear.
Stacey C BraunerDepartment of Ophthalmology, Massachusetts Eye and Ear.
Milton R AlvesUniversity of Sao Paulo, Sao Paulo, Brazil.
Louis R PasqualeDepartment of Ophthalmology, Massachusetts Eye and Ear.
Lucy Q ShenDepartment of Ophthalmology, Massachusetts Eye and Ear.
Massachusetts Eye and Ear Infirmary · USUniversidade de São Paulo · BR

Funding

Relationship between Glaucoma and the Three-Dimensional Optic Nerve Head Related StructureK99EY028631 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI WANG, MENGYU · 2019 to 2020
$293k
NEI NIH HHS K99 EY028631
6 · The paper itself

Abstract

purposeTo assess optic nerve head (ONH) and peripapillary microvasculature in primary open-angle glaucoma (POAG) of mild to moderate severity using swept-source optical coherence tomography angiography (OCTA). MATERIALS AND

methodsIn a cross-sectional study, swept-source OCTA images were analyzed for 1 eye from each of 30 POAG patients with glaucomatous Humphrey visual field loss and 16 controls. The anatomic boundary of ONH was manually delineated based on Bruch's membrane opening and large vessels were removed from en face angiography images to measure vessel density (VD) and the integrated OCTA by ratio analysis signal (IOS), suggestive of flow, in the ONH and peripapillary region. POAG subgroup analysis was performed based on a history of disc hemorrhage (DH) matched by visual field mean deviation (MD).

resultsPOAG (mean MD±SD, -3.3±3.0 dB) and control groups had similar demographic characteristics and intraocular pressure on the day of imaging. Groups did not differ in superficial ONH VD or flow indicated by IOS (P≥0.28). POAG eyes showed significantly lower VD (39.4%±4.0%) and flow (38.8%±5.6%) in deep ONH, peripapillary VD (37.9%±2.9%) and flow (43.6%±4.0%) compared with control eyes (44.1%±5.1%, 44.7%±6.9%, 40.7%±1.7%, 47.8%±2.5%, respectively; P≤0.007 for all). In the subgroup analysis, POAG eyes with (n=14) and without DH (n=16) had similar measured OCTA parameters (P>0.99 for all).

conclusionsThe image processing methodology based on the anatomic boundary of ONH demonstrated compromised microvasculature in the deep ONH and peripapillary region in eyes with mild to moderate POAG, regardless of the history of DH.

Indexed as

AgedBruch MembraneCross-Sectional StudiesFemaleFluorescein AngiographyGlaucoma, Open-AngleHumansIntraocular PressureMaleMicrovesselsMiddle AgedNerve FibersOptic DiskProspective StudiesRetinal Ganglion CellsRetinal Vessels

Identifiers

PMID30585943
PMCPMC6927208
OpenAlexW2907364255

What OpenQuestion holds

Textmetadata
LicenceTDM
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.