Evidence map›Paper›PMID 31163136›Full record

ArticleAmerican journal of ophthalmology2019

Use of High-Resolution Optical Coherence Tomography in the Surgical Management of Ocular Surface Squamous Neoplasia: A Pilot Study.

Carol L Karp, Carolina Mercado, Nandini Venkateswaran, Marco Ruggeri, Anat Galor, Armando Garcia, Kavitha R Sivaraman, Maria Paula Fernandez, Antonio Bermudez, Sander R Dubovy

Abstract 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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Utilizing artificial intelligence for the diagnosis of ocular surface squamous neoplasia with ultrasound biomicroscopy images.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Enhanced Imaging of Ocular Surface Lesions.Journal of clinical medicine · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Can high-resolution optical coherence tomography provide an optical biopsy for ocular surface lesions?Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2025
    Review
  15. Review
  16. Article
  17. Characteristics of conjunctival myxomas on anterior segment optical coherence tomography.Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2024
    Article
  18. Article
  19. Article
  20. Review
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

10 authors at 1 institution in 1 country.

Carol L KarpBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address: ckarp@med.miami.edu.
Carolina MercadoBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Nandini VenkateswaranBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Marco RuggeriBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Anat GalorBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA; Miami Veteran Affairs Medical Center, Miami, Florida, USA.
Armando GarciaBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Kavitha R SivaramanBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Maria Paula FernandezBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Antonio BermudezBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Sander R DubovyBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA; Florida Lions Ocular Pathology Laboratory, Miami, Florida, USA.
University of Miami · US

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Victor L Perez · 2004 to 2026
$12.2M
Dry Eye and MicroenvironmentR01EY026174 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GALOR, ANAT, KUMAR, NARESH · 2016 to 2020
$1.9M
NEI NIH HHS P30 EY014801NEI NIH HHS R01 EY026174
6 · The paper itself

Abstract

purposeTo evaluate whether high-resolution optical coherence tomography (HR-OCT) can detect histologic tumor margins of ocular surface squamous neoplasia (OSSN).

methodsEight eyes of 8 patients with OSSN undergoing excision were studied prospectively. Immediately before surgery, the tumor was imaged using commercially available HR-OCT to identify the conjunctival margins of the neoplastic lesion. The tumor borders of the lesion determined by HR-OCT were mapped in relation to an anatomic reference point and transferred intraoperatively. The tumor was excised with 4-mm margins from the visible edge of the lesion with a "no-touch" technique. The specimens were sent for pathologic analysis and the histologic tumor margin was compared to the HR-OCT predicted tumor border.

resultsMean age of the 8 patients was 67 ± 9.9 years. Seven were male, 7 were white, and, ethnically, 3 were Hispanic. All 8 tumors were bulbar and in the exposure zone. Seven tumors were limbal. Corneal extension was present in 5. Mean tumor area was 17.5 ± 11.1 mm

conclusionsHR-OCT has the potential to predict histologic tumor margins in OSSN. Optical identification of tumor margins could potentially decrease the incidence of residual positive margins and minimize healthy tissue removal. Advances in HR-OCT technology and integration into a microscope for "real-time" imaging are needed to further improve this technique. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.

Indexed as

AgedCarcinoma, Squamous CellConjunctivaCorneaEye NeoplasmsFemaleFollow-Up StudiesHumansImaging, Three-DimensionalMaleMiddle AgedOphthalmologic Surgical ProceduresPilot ProjectsProspective StudiesSurgery, Computer-AssistedTomography, Optical Coherence

Identifiers

PMID31163136
PMCPMC6885111
OpenAlexW2947955272

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.