Evidence map›Paper›PMID 30808615›Full record

Observational studyThe British journal of ophthalmology2021

Right-angled vessels in macular telangiectasia type 2.

Simone Tzaridis, Tjebo Heeren, Clarissa Mai, Sarah Thiele, Frank G Holz, Peter Charbel Issa, Philipp Herrmann

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.5field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Functional Relevance of Hyper-Reflectivity in Macular Telangiectasia Type 2.Investigative ophthalmology & visual science · 2021
    Trial
  3. Macular telangiectasia type 2: An update.The Journal of international medical research · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. One-year follow-up of optical coherence tomography angiography microvascular findings: macular telangiectasia type 2 versus tamoxifen retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  16. Article
  17. Review
  18. The preproliferative stage in type 2 macular telangiectasia (MacTel type 2).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  19. The Role of Diagnostic Imaging in Macular Telangiectasia Type 2.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  20. 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

7 authors at 4 institutions in 2 countries.

Simone TzaridisDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany Simone.Mueller@ukb.uni-bonn.de.
Tjebo HeerenMoorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0001-5297-2301
Clarissa MaiDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Sarah ThieleDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Frank G HolzDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Peter Charbel IssaOxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, and Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-0351-6673
Philipp HerrmannDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DEMoorfields Eye Hospital NHS Foundation Trust · GBUniversity of Bonn · DEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the role of right-angled vessels (RAVs) during disease progression in macular telangiectasia type 2 (MacTel).

methodsIn this study, 100 eyes of 52 patients and 52 eyes of 26 age-related controls were examined using fundus photography, spectral-domain optical coherence tomography (SD-OCT), OCT angiography (OCT-A) and fundus fluorescein angiography (FFA). Two masked readers graded fundus photographs of patients' eyes into five disease stages according to Gass and Blodi, and evaluated all eyes for the presence of RAVs. If RAVs were present, their course and origin (arterial vs venous) was evaluated with OCT-A and FFA, respectively. Additionally, we looked for morphological correlates of these vessels on SD-OCT scans. Neovascular eyes were analysed for the presence of RAVs and for morphological changes on formation of neovascularisations (NVs).

resultsIn OCT-A, RAVs were already detectable in eyes with early stages (1 to 2), could be tracked from superficial to outer retinal layers and were shown to form anastomoses in the outer retina with disease progression. These vessels were of both arterial and venous origin as shown by early phase FFA. Dilated capillaries and RAVs in OCT-A corresponded to hyper-reflective alterations of the outer retina on SD-OCT scans. In 19/19 eyes, NVs were associated with the presence of RAVs, and RAVs were shown to directly connect to neovascular complexes and to undergo morphological changes upon NV formation.

conclusionsThe results emphasise the role of RAVs during disease progression from an early stage on and demonstrate their involvement in the development of secondary NVs in MacTel.

Indexed as

Visual AcuityAgedCross-Sectional StudiesFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansMacula LuteaMaleMiddle AgedRetinal TelangiectasisRetinal VesselsTomography, Optical Coherenceimagingmaculaneovascularisationretina

Identifiers

PMID30808615
PMCPMC8380913
OpenAlexW2917518838

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.