Evidence map›Paper›PMID 31254532›Full record

ArticleVision research2019

The association between L:M cone ratio, cone opsin genes and myopia susceptibility.

Lene A Hagen, Solveig Arnegard, James A Kuchenbecker, Stuart J Gilson, Maureen Neitz, Jay Neitz, Rigmor C Baraas

Open access · hybridAbstract read
In one paragraph

Article in Vision research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.5field-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

29 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Review
  3. Zoological research · 2026
    Article
  4. Article
  5. IMI-Interventions for Controlling Myopia Onset and Progression 2025.Investigative ophthalmology & visual science · 2025
    Review
  6. Optical and Visual Diet in Myopia.Investigative ophthalmology & visual science · 2025
    Review
  7. Diversity of Peripheral Refraction Patterns-Have These Been Oversimplified?Investigative ophthalmology & visual science · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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 3 institutions in 2 countries.

Lene A HagenNational Centre for Optics, Vision and Eye Care, Faculty of Health and Social Sciences, University of South-Eastern Norway, Hasbergs vei 36, 3616 Kongsberg, Norway. Electronic address: lene.hagen@usn.no.
Solveig ArnegardNational Centre for Optics, Vision and Eye Care, Faculty of Health and Social Sciences, University of South-Eastern Norway, Hasbergs vei 36, 3616 Kongsberg, Norway. Electronic address: solveig.arnegard@icloud.com.
James A KuchenbeckerDepartment of Ophthalmology, University of Washington Medical School, Box 358058, 750 Republican Street, Building E Room, Seattle, WA 98109, United States.
Stuart J GilsonNational Centre for Optics, Vision and Eye Care, Faculty of Health and Social Sciences, University of South-Eastern Norway, Hasbergs vei 36, 3616 Kongsberg, Norway. Electronic address: stuart.j.gilson@usn.no.
Maureen NeitzDepartment of Ophthalmology, University of Washington Medical School, Box 358058, 750 Republican Street, Building E Room, Seattle, WA 98109, United States. Electronic address: mneitz@uw.edu.
Jay NeitzDepartment of Ophthalmology, University of Washington Medical School, Box 358058, 750 Republican Street, Building E Room, Seattle, WA 98109, United States. Electronic address: jneitz@uw.edu.
Rigmor C BaraasNational Centre for Optics, Vision and Eye Care, Faculty of Health and Social Sciences, University of South-Eastern Norway, Hasbergs vei 36, 3616 Kongsberg, Norway. Electronic address: rigmor.baraas@usn.no.
University of South-Eastern Norway · NOUniversity of Washington Medical Center · USUniversity of Washington · US

Funding

Vision Research CoreP30EY001730 · NEI · UNIVERSITY OF WASHINGTON · PI JAMES Bryant HURLEY · 1985 to 2026
$23.5M
Role of a dual splicing and amino acid code in myopia, cone dysfunction and cone dystrophy associated with L/M opsin interchange mutationsR01EY028118 · NEI · UNIVERSITY OF WASHINGTON · PI NEITZ, MAUREEN E · 2018 to 2022
$2.2M
NEI NIH HHS P30 EY001730NEI NIH HHS R01 EY028118
6 · The paper itself

Abstract

In syndromic forms of myopia caused by long (L) to middle (M) wavelength (L/M) interchange mutations, erroneous contrast signals from ON-bipolar cells activated by cones with different levels of opsin expression are suggested to make the eye susceptible to increased growth. This susceptibility is modulated by the L:M cone ratio. Here, we examined L and M opsin genes, L:M cone ratios and their association with common refractive errors in a population with low myopia prevalence. Cycloplegic autorefraction and ocular biometry were obtained for Norwegian genetically-confirmed normal trichromats. L:M cone ratios were estimated from spectral sensitivity functions measured with full-field ERG, after adjusting for individual differences in the wavelength of peak absorption deduced from cone opsin genetics. Mean L:M cone ratios and the frequency of alanine at L opsin position 180 were higher in males than what has been reported in males in populations with high myopia prevalence. High L:M cone ratios in females were associated with lower degree of myopia, and myopia was more frequent in females who were heterozygous for L opsin exon 3 haplotypes than in those who were homozygous. The results suggest that the L:M cone ratio, combined with milder versions of L opsin gene polymorphisms, may play a role in common myopia. This may in part explain the low myopia prevalence in Norwegian adolescents and why myopia prevalence was higher in females who were heterozygous for the L opsin exon 3 haplotype, since females are twice as likely to have genetic polymorphisms carried on the X-chromosome.

Indexed as

Genetic Predisposition to DiseaseAdolescentBiometryColor VisionCone OpsinsElectroretinographyFemaleHumansMaleMyopiaNorwayPolymerase Chain ReactionPolymorphism, Single NucleotideRefraction, OcularRetinaRetinal Cone Photoreceptor CellsCone OpsinsColor visionCone opsin geneticsL:M cone ratioMyopiaMyopia susceptibility

Identifiers

PMID31254532
PMCPMC7122956
OpenAlexW2956276898

What OpenQuestion holds

Textmetadata
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.