Evidence map›Paper›PMID 32347919›Full record

ArticleInvestigative ophthalmology & visual science2020

Hyperreflective Stress Lines and Macular Holes.

Jackson M Scharf, Assaf Hilely, Rony C Preti, Christelle Grondin, Ismael Chehaibou, Giovanni Greaves, Khoi Tran, Derrick Wang, Michael S Ip, Jean Pierre Hubschman and 2 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Investigative ophthalmology & visual science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Foveal crack sign and macular pattern dystrophy.International journal of retina and vitreous · 2025
    Article
  5. Foveal hyper-reflective vertical lines detected by optical coherence tomography: Imaging features, literature review and differential diagnoses.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Observational
  6. Clinical anatomy of the macula.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
  7. Article
  8. Review
  9. Intraretinal hyperreflective line: potential biomarker in various retinal disorders.Medical hypothesis, discovery & innovation ophthalmology journal · 2024
    Article
  10. Presumed Müller Cell Activation in Multiple Evanescent White Dot Syndrome.Investigative ophthalmology & visual science · 2023
    Observational
  11. Article
  12. Article
  13. Primary Lamellar Macular Holes: To Vit or Not to Vit.Journal of clinical medicine · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

12 authors at 5 institutions in 5 countries.

Jackson M Scharf,.
Assaf Hilely,.
Rony C Preti,.
Christelle Grondin,.
Ismael Chehaibou,.
Giovanni Greaves, ; ,.
Khoi Tran,.
Derrick Wang,.
Michael S Ip, ; ,.
Jean Pierre Hubschman,.
Alain Gaudric,.
David Sarraf,.
University of California, Los Angeles · USDoheny Eye Institute · USAssistance Publique – Hôpitaux de Paris · FRTel Aviv University · ILUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine the prevalence of a central hyperreflective line in eyes with full-thickness macular holes (FTMH) and lamellar macular holes (LMH) and to elucidate the pathoanatomic importance of this optical coherence tomography (OCT) sign. Methods: This retrospective analysis evaluated patients with FTMH and LMH at the Stein Eye Institute. Clinical data was collected and SD-OCT volume scans were analyzed for the presence of a central vertical hyperreflective line in 3 separate cohorts: patients with SD-OCT preceding FTMH development, patients with SD-OCT after pars plana vitrectomy (PPVT) treatment for FTMH, and patients with SD-OCT of LMH. Results: In total, 93 eyes with FTMH and 88 eyes with LMH were identified. Of the 93 FTMH eyes, SD-OCT volume scans were available before development of the FTMH in 12 eyes. Of these, 6 (50%) displayed a vertical hyperreflective line preceding the development of the FTMH. Fifty-one eyes underwent PPVT with resolution of the FTMH, and 26 displayed a hyperreflective line after resolution (51%). Of the 88 eyes with LMH, 22 displayed a hyperreflective line (25%). All hyperreflective lines were noted at the central fovea. Conclusions: SD-OCT illustrated the presence of a central vertical hyperreflective line preceding FTMH and after resolution of FTMH after PPVT in approximately one-half of cases, and concurrent with LMH in 25% of cases. This vertical hyperreflective line may represent an early SD-OCT marker for the development of FTMH, and may be a sign of central foveal dehiscence owing to disruption of the Muller cell cone.

Indexed as

AgedAged, 80 and overCohort StudiesEpiretinal MembraneFemaleFovea CentralisHumansMalePrognosisRetinal PerforationsRetrospective StudiesRisk AssessmentSeverity of Illness IndexTomography, Optical CoherenceTreatment OutcomeVisual Acuity

Identifiers

PMID32347919
PMCPMC7401923
OpenAlexW3020695919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.