Evidence map›Paper›PMID 31375969›Full record

ArticleDocumenta ophthalmologica. Advances in ophthalmology2019

Two cases of unilateral cone-rod dysfunction with negative electroretinograms.

Kenji Ozawa, Shunsuke Takahashi, Kiyofumi Mochizuki, Yozo Miyake

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Documenta ophthalmologica. Advances in ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

4 authors at 2 institutions in 1 country.

Kenji OzawaDepartment of Ophthalmology, Gifu University Graduate School of Medicine, 1-1, Yanagido, Gifu-shi, Gifu, 501-1194, Japan. kj-ozawa@umin.ac.jp.ORCID 0000-0002-9860-3736
Shunsuke TakahashiDepartment of Ophthalmology, Gifu University Graduate School of Medicine, 1-1, Yanagido, Gifu-shi, Gifu, 501-1194, Japan.
Kiyofumi MochizukiDepartment of Ophthalmology, Gifu University Graduate School of Medicine, 1-1, Yanagido, Gifu-shi, Gifu, 501-1194, Japan.
Yozo MiyakeKobe Eye Center, Next Vision, 2-1 Minatojima, Minamimachi Chuo-ku, Kobe, 650-0047, Japan.
Gifu University · JPMinamiaoyama Eye Clinic · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the findings in two patients with unilateral cone-rod dysfunction with the a-wave larger than the b-wave, i.e., negative-type, full-field electroretinogram (ERG).

methodsStandard ophthalmological examinations were performed including the medical history, measurements of the best-corrected visual acuity and intraocular pressures, slit-lamp biomicroscopy, ophthalmoscopy, spectral-domain optical coherence tomography, fundus autofluorescence, fluorescein angiography, and perimetry. ERG examinations were carried out with the ISCEV standard. Immunoblot analysis using the patient's sera was performed to determine the presence of the recoverin1 antibody.

resultsThe common findings in these two patients were: unilateral, male sex, sudden onset of photophobia or a reduction in the vision at an advanced age, preserved visual acuity, no complaint of night blindness, normal fundus appearance, negative-type dark-adapted 3.0 ERGs with reduced a-wave amplitudes, absent light-adapted 3.0 ERGs, and very reduced but recordable dark-adapted 0.01 ERGs. In addition, the multifocal ERGs in all areas except that in a hexagonal area within a 2.5° radius of the fovea were very reduced. Patients with similar findings have been reported earlier, but the subnormal a-wave of the dark-adapted 3.0 ERGs and extensive morphological alterations of the retina in the posterior pole in the OCT images were different from those of the reported patients. The OCT images showed an indistinct interdigitation zone and discontinuous ellipsoid zone. Anti-recoverin antibodies were not detected.

conclusionsNegative ERGs with severely reduced cone and rod components suggest that both the cone and rod bipolar cell visual pathways may be disturbed. Slightly decreased a-wave suggests minor abnormality of photoreceptors. It is important to determine whether these patients represent a new clinical entity or a phenotypic variation of an already described retinal disorder.

Indexed as

AgedCone-Rod DystrophiesElectroretinographyFluorescein AngiographyHumansMaleMiddle AgedOphthalmoscopyPhotophobiaRetinaRetinal Bipolar CellsTomography, Optical CoherenceVisual AcuityVisual FieldsVisual Field TestsVisual PathwaysCone-rod dysfunctionNegative ERGNormal fundusNormal visual acuitySubnormal a-waveUnilateral

Identifiers

PMID31375969
OpenAlexW2964609472

What OpenQuestion holds

Textmetadata
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.