Evidence map›Paper›PMID 30589932›Full record

ArticleJAMA ophthalmology2019

Association of Ocular Inflammation and Rubella Virus Persistence.

John A Gonzales, Armin Hinterwirth, Jessica Shantha, Kaidi Wang, Lina Zhong, Milo Cummings, Ying Qian, Michael R Wilson, Nisha R Acharya, Thuy Doan

Open access · hybridAbstract read
In one paragraph

Article in JAMA ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Comparative analysis of iridian anterior segment OCT and microbiological features in Fuchs Uveitis Syndrome and Posner-Schlossman Syndrome.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  11. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
  12. Article
  13. Classification Criteria for Fuchs Uveitis Syndrome.American journal of ophthalmology · 2021
    Article
  14. Classification Criteria for Cytomegalovirus Anterior Uveitis.American journal of ophthalmology · 2021
    Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

John A GonzalesFrancis I. Proctor Foundation, University of California, San Francisco.
Armin HinterwirthFrancis I. Proctor Foundation, University of California, San Francisco.
Jessica ShanthaDepartment of Ophthalmology, Emory University, Atlanta, Georgia.
Kaidi WangFrancis I. Proctor Foundation, University of California, San Francisco.
Lina ZhongFrancis I. Proctor Foundation, University of California, San Francisco.
Milo CummingsFrancis I. Proctor Foundation, University of California, San Francisco.
Ying QianDepartment of Ophthalmology, Kaiser Permanente, Oakland, California.
Michael R WilsonWeill Institute for Neurosciences, University of California, San Francisco.
Nisha R AcharyaFrancis I. Proctor Foundation, University of California, San Francisco.
Thuy DoanFrancis I. Proctor Foundation, University of California, San Francisco.
University of California, San Francisco · USSan Francisco Foundation · USEmory University · USKaiser Permanente Oakland Medical Center · US

Funding

Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Ocular Surface Microbiome, Virome, and Pathogens in Ophthalmic Disease and HealthK08EY026986 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOAN, THUY A · 2016 to 2020
$1.2M
NEI NIH HHS K08 EY026986NICHD NIH HHS K12 HD085850
6 · The paper itself

Abstract

Importance: Metagenomic deep sequencing (MDS) demonstrates that persistent and active rubella virus (RV) infection is associated with Fuchs heterochromic iridocyclitis (FHI). Objective: To assess the utility of MDS in identifying RV infection in patients with uveitis. Design, Setting, and Participants: This case series assessed 6 patients diagnosed by MDS with RV-associated uveitis at a tertiary uveitis referral center in the United States. Exposures: Prior RV infection. Main Outcomes and Measures: Clinical examination findings, slitlamp photography, corneal confocal imaging, and infectious pathogen genome obtained from RNA sequencing. Results: Six white men (age range, 36-61 years) were diagnosed with RV-associated uveitis by MDS. Three patients exhibited iris heterochromia associated with their uveitis in classic FHI fashion. The other 3 patients had less classic FHI features and exhibited anterior vitritis. Three patients had in vivo corneal confocal microscopy, with 2 demonstrating stellate keratic precipitates in addition to endothelial infiltration, spotlike holes, and enlarged intercellular boundaries. Of these 3 patients, 1 patient exhibited polymorphism and polymegathism of the endothelial cells. Conclusions and Relevance: These findings suggest that persistent RV infection is associated with recurrent or chronic anterior or anterior-intermediate uveitis as well as corneal endothelial cell damage. Ophthalmologists should consider RV infection as a potential cause of hypertensive anterior and intermediate uveitis.

Indexed as

AdultEye Infections, ViralHumansMaleMiddle AgedRubellaUveitis

Identifiers

PMID30589932
PMCPMC6439711
OpenAlexW2907963797

What OpenQuestion holds

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LicenceCC BY
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.