Evidence map›Paper›PMID 32206342›Full record

ArticleInternational journal of retina and vitreous2020

Topographic analysis of macular choriocapillaris flow deficits in diabetic retinopathy using swept-source optical coherence tomography angiography.

Isaac Gendelman, A Yasin Alibhai, Eric M Moult, Emily S Levine, Phillip X Braun, Nihaal Mehta, Yi Zhao, Akihiro Ishibazawa, Osama A Sorour, Caroline R Baumal and 5 more

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Article
  5. Advances in OCT Angiography.Translational vision science & technology · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Topographic analysis of retinal and choroidal microvasculature according to diabetic retinopathy severity using optical coherence tomography angiography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  15. Article
  16. 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

15 authors.

Isaac Gendelman1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
A Yasin Alibhai1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Eric M Moult5Department Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA USA.
Emily S Levine1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Phillip X Braun1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Nihaal Mehta1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Yi Zhao6Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA USA.
Akihiro Ishibazawa1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Osama A Sorour1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Caroline R Baumal1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Andre J Witkin1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Elias Reichel1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
James G Fujimoto5Department Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA USA.
Jay S Duker1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.
Nadia K Waheed1New England Eye Center, Tufts Medical Center, 260 Tremont St, Boston, MA 02116 USA.ORCID 0000-0002-8229-7519

Funding

Novel Optical Diagnostics with Optical Coherence TomographyR01EY011289 · NEI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI JAMES G FUJIMOTO · 1995 to 2026
$9.5M
NEI NIH HHS R01 EY011289
6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the association between diabetic retinopathy (DR) severity and macular choriocapillaris (CC) flow deficit percentage (FD %) in different macular regions using swept-source optical coherence tomography angiography (SS-OCTA).

methodsDiabetic patients with SS-OCTA images were graded by severity and retrospectively assessed. CC FD % was calculated in four different regions of the OCTA image: inner, middle, outer, and full-field region. The generalized estimating equations (GEE) approach for clustered eye data was used to determine effect size and significance of age and disease severity on FD % for each region.

results160 eyes from 90 total diabetic patients met inclusion criteria. Out of 90 patients, 33 had no DR, 17 had mild nonproliferative DR (NPDR), 8 had moderate NPDR, 10 had severe NPDR and 22 had proliferative DR. Age and DR severity had a significant positive association with FD % for each region studied with a greater effect in the two centermost regions. The increase in flow deficit percentage per year of age by region was: inner 0.12 (p < 0.001), middle 0.09 (p < 0.001), outer 0.05 (p < 0.001, full-field 0.06 (p < 0.001). The increase in flow deficit percentage per increase in diabetic retinopathy severity stage by region was: inner 0.65 (p < 0.0087), middle 0.56 (p < 0.0012), outer 0.33 (p < 0.045), full-field 0.36 (p < 0.018).

conclusionsTopographic analysis of the CC FD % in diabetic eyes suggests that CC flow impairment corresponds to DR severity, with all studied regions of the CC significantly affected. There was greater regional impairment due to age and disease severity in the inner and middle regions.

Indexed as

ChoriocapillarisDiabetic retinopathyImagingOCT angiographyOphthalmologyRetina

Identifiers

PMID32206342
PMCPMC7081691

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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.