Evidence map›Paper›PMID 31078542›Full record

ArticleAmerican journal of ophthalmology2019

Improved Macular Capillary Flow on Optical Coherence Tomography Angiography After Panretinal Photocoagulation for Proliferative Diabetic Retinopathy.

Amani A Fawzi, Alaa E Fayed, Robert A Linsenmeier, Jing Gao, Fei Yu

Open access · bronzeAbstract read
In one paragraph

Article in American journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
9.2field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
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  8. Review
  9. Article
  10. Optical coherence tomography angiography in diabetic retinopathy.Progress in retinal and eye research · 2023
    Review
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  12. Article
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  18. Review
  19. Alterations in choroidal vascular parameters following panretinal photocoagulation using enhanced-depth imaging optical coherence tomography in diabetic retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    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

5 authors at 2 institutions in 2 countries.

Amani A FawziDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Egypt. Electronic address: afawzimd@gmail.com.
Alaa E FayedDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Robert A LinsenmeierDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Departments of Biomedical Engineering and Neurobiology, Northwestern University, Evanston, Illinois.
Jing GaoDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Fei YuDepartment of Biostatistics, University of California-Los Angeles, Los Angeles, California.
Northwestern University · USUniversity of California, Los Angeles · US

Funding

Functional Retinal Imaging to Monitor Pharmaco-Therapies in Diabetic RetinopathyDP3DK108248 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FAWZI, AMANI A, ZHANG, HAO F · 2015 to 2015
$1.9M
NIDDK NIH HHS DP3 DK108248
6 · The paper itself

Abstract

purposeThis study evaluated the macular microvascular changes in eyes with proliferative diabetic retinopathy (PDR) following panretinal photocoagulation (PRP).

designUsing optical coherence tomographic angiography (OCTA), we prospectively studied 10 eyes of 10 subjects with high-risk PDR immediately before, at 1 month, and at 3-6 months following PRP, using a 3- × 3-mm OCTA scan at each visit.

methodsThe following parameters were calculated for the superficial (SCP), middle (MCP), and deep capillary plexuses (DCP): parafoveal vessel density (VD), adjusted flow index (AFI), and percent area of nonperfusion (PAN). Parafoveal SCP vessel-length density (VLD) was also evaluated. We performed univariate and multivariable statistics, adjusting for age and signal strength. To model the hemodynamic effect of PRP, we also present a mathematical model based on electrical circuits.

resultsWe found no significant difference for the vascular density parameters following PRP, except for decreased density at the MCP at the latest timepoint in the adjusted multivariable model. PAN, a metric of nonperfusion adjusted for noise, and AFI, a surrogate metric of blood flow, showed significant increases at all capillary levels in the adjusted model. Our mathematical model explained how PRP would increase macular blood flow.

conclusionsUsing OCTA, we found an overall increase in the flow metrics of all capillary layers in the macula following PRP, unrelated to macular edema or thickening, in line with the mathematical model. Our results suggest an overall redistribution of blood flow to the posterior pole following PRP, adding a new dimension to our understanding of the complex biologic effects of PRP in PDR. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.

Indexed as

AdultAgedCapillariesDiabetic RetinopathyFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansLaser CoagulationMacula LuteaMaleMicrocirculationMiddle AgedPostoperative PeriodProspective Studies

Identifiers

PMID31078542
PMCPMC6842077
OpenAlexW2944613575

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.