Evidence map›Paper›PMID 32212415›Full record

ArticleActa ophthalmologica2020

Anatomical and functional changes in the retina in patients with Alzheimer's disease and mild cognitive impairment.

Stephan Szegedi, Peter Dal-Bianco, Elisabeth Stögmann, Tatjana Traub-Weidinger, Michael Rainer, Andreas Masching, Doreen Schmidl, René M Werkmeister, Jacqueline Chua, Leopold Schmetterer and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Retinal Vascularity Index in Mild Cognitive Impairment.Translational vision science & technology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Brain and retina in Alzheimer's disease: Pathological intersections and estimates from imaging.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Alzheimer's disease pathophysiology in the Retina.Progress in retinal and eye research · 2024
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Optical coherence tomography reveals retinal thinning in schizophrenia spectrum disorders.European archives of psychiatry and clinical neuroscience · 2023
    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

11 authors at 4 institutions in 3 countries.

Stephan SzegediDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Peter Dal-BiancoDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Elisabeth StögmannDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Tatjana Traub-WeidingerDivision of Nuclear Medicine, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Michael RainerDepartment of Psychiatry, Social and Medical Centre East - Danube Hospital, Vienna, Austria.
Andreas MaschingDepartment of Psychiatry, Social and Medical Centre East - Danube Hospital, Vienna, Austria.
Doreen SchmidlDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5664-7768
René M WerkmeisterCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-5147-5714
Jacqueline ChuaSingapore Eye Research Institute, Singapore National Eye Centre, Singapore City, Singapore.ORCID https://orcid.org/0000-0002-6474-5293
Leopold SchmettererDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-7189-1707
Gerhard GarhöferDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5547-5669
Medical University of Vienna · ATUniversität für Weiterbildung Krems · ATNanyang Technological University · SGSingapore National Eye Center · SG

Funding

Austrian Science Foundation KLIF 529Austrian Science Foundation KLIF 721Austrian Science Fund FWF KLI 529
6 · The paper itself

Abstract

purposeThere is evidence that mild cognitive impairment (MCI) or Alzheimer's disease (AD) is accompanied by alterations in the retina. The current study was performed to investigate structural and functional changes in patients with systemic neurodegenerative disease.

methodsA total of 47 patients with either MCI or AD and 43 healthy age- and sex-matched control subjects were included. Inclusion criteria for MCI were abnormal memory function and a mini-mental state examination (MMSE) score >26 points, for patients with AD a diagnosis of probable AD of mild to moderate degree and an MMSE score in the range of 20-26. Retinal blood flow was measured using a Doppler optical coherence tomography (OCT) system. Retinal vessel diameter, oxygen saturation and flicker-induced vasodilatation were measured using a Vessel Analyzer. Retinal nerve fibre layer thickness (RNFLT) was assessed using an OCT system.

resultsGlobal RNFLT was lower in patients compared to healthy controls (93.7 ± 12.8 µm versus 99.1 ± 9.0 µm, p = 0.02). The same was found in regards to retinal arterial blood flow, which was 9.3 ± 2.4 and 12.3 ± 3.2 μl/min in the patient and control groups, respectively (p < 0.001). Mean retinal arterial diameter was reduced in patients (76.0 ± 8.9 µm versus 80.6 ± 8.0 µm, p = 0.03). Arteriovenous difference in oxygen saturation was lower in patients (20.4 ± 5.1% versus 23.5 ± 4.0%, p < 0.01). No difference in the flicker response was observed.

conclusionIn patients with MCI and AD, arteriovenous difference in oxygen saturation, retinal blood flow and arterial vessel diameter was reduced. No difference was found in flicker response between groups. This indicates alterations in retinal oxygen metabolism in patients with neurodegenerative disease.

Indexed as

AgedAlzheimer DiseaseCognitive DysfunctionFemaleHumansMaleNerve FibersRetinal DegenerationRetinal Ganglion CellsRetinal VesselsTomography, Optical CoherenceAlzheimer’s diseasemild cognitive impairmentoxygenretinal blood flow

Identifiers

PMID32212415
PMCPMC7687124
OpenAlexW3013149015

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.