Evidence map›Paper›PMID 31668716›Full record

ArticleOphthalmology2020

Differential Effects of Aging in the Macular Retinal Layers, Neuroretinal Rim, and Peripapillary Retinal Nerve Fiber Layer.

Balwantray C Chauhan, Jayme R Vianna, Glen P Sharpe, Shaban Demirel, Christopher A Girkin, Christian Y Mardin, Alexander F Scheuerle, Claude F Burgoyne

Abstract readMulticenter Study
In one paragraph

Article in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
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

47 citing papers in PubMed.

  1. Trial
  2. Longitudinal hemifield-specific macular ganglion cell complex thinning and its association with arterial stiffness in eyes without baseline glaucomatous abnormalities.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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  4. Article
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Rapid Macular Thinning as a Biomarker for Geographical Atrophy.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Balwantray C ChauhanDepartment of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address: bal@dal.ca.
Jayme R ViannaDepartment of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
Glen P SharpeDepartment of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
Shaban DemirelDevers Eye Institute, Portland, Oregon.
Christopher A GirkinDepartment of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama.
Christian Y MardinDepartment of Ophthalmology, University of Erlangen, Erlangen, Germany.
Alexander F ScheuerleDepartment of Ophthalmology, University of Heidelberg, Heidelberg, Germany.
Claude F BurgoyneDevers Eye Institute, Portland, Oregon.

Funding

Optic Nerve Head SDOCT Imaging in GlaucomaR01EY021281 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI BURGOYNE, CLAUDE F · 2011 to 2018
$3.7M
CIHR MOP11357NEI NIH HHS R01 EY021281
6 · The paper itself

Abstract

purposeWe determined the differential aging effects of the inner 6 layers of the macula in contrast to the minimum neuroretinal rim width (MRW) and peripapillary retinal nerve fiber layer (RNFL) thickness.

designCross-sectional, multicenter study.

participantsAn approximately equal number of white subjects with a normal ocular and visual field examination in each decade group from 20 to 90 years.

methodsOCT of the macula, optic nerve head, and peripapillary retina.

main outcome measuresSectoral measurements of the inner 6 layers of the macula; age-related decline of each of these layers; strength of the associations with age of the macular parameters, MRW, and peripapillary RNFL thickness; and association between ganglion cell layer (GCL) thickness and MRW and peripapillary RNFL thickness.

resultsThe study sample comprised 1 eye of 246 subjects with a median (range) age of 52.9 (19.8-87.3) years. Of the 6 layers, there was a statistically significant decline with age of only the GCL, inner plexiform layer, and inner nuclear layer thickness with rates of -0.11 μm/year, -0.07 μm/year, and -0.03 μm/year, respectively. These rates corresponded to 2.82%, 2.10%, and 0.78% loss per decade, respectively, and were generally uniform across sectors. The rate of loss of MRW and peripapillary RNFL thickness was -1.22 μm/year and -0.20 μm/year, corresponding to 3.75% and 2.03% loss per decade. However, the association of GCL thickness change with age (R

conclusionsIn concordance with histopathologic studies showing age-related loss of retinal ganglion cell axons, we showed a significant decline in GCL thickness, as well as MRW and peripapillary RNFL thickness. The stronger relationship between aging and GCL thickness compared with the rim or peripapillary RNFL may indicate that GCL thickness could be better suited to measure progression of structural glaucomatous loss.

Indexed as

AdultAgedAged, 80 and overAgingCross-Sectional StudiesFemaleHumansMacula LuteaMaleMiddle AgedNerve FibersOptic DiskRetinaRetinal Ganglion CellsYoung Adult

Identifiers

PMID31668716
PMCPMC6982591

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Registered trials

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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.