Evidence map›Paper›PMID 32518974›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

Optical coherence tomography (OCT) and OCT angiography allow early identification of sickle cell maculopathy in children and correlate it with systemic risk factors.

L Grego, S Pignatto, F Alfier, M Arigliani, F Rizzetto, N Rassu, F Samassa, R Prosperi, F Barbieri, R Dall'Amico and 2 more

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Sickle cell retinopathy in pediatric patients: exploring correlations and predictive factors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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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 1 institution in 1 country.

L GregoDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0003-0768-4970
S PignattoDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.
F AlfierDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.
M AriglianiDepartment of Medicine- Paediatrics, University of Udine, Udine, Italy.
F RizzettoDepartment of Ophthalmology, Hospital of Pordenone, Pordenone, Italy.
N RassuDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.
F SamassaDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.
R ProsperiDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy.
F BarbieriDepartment of Paediatrics, Hospital of Pordenone, Pordenone, Italy.
R Dall'AmicoDepartment of Paediatrics, Hospital of Pordenone, Pordenone, Italy.
P CogoDepartment of Medicine- Paediatrics, University of Udine, Udine, Italy.
P LanzettaDepartment of Medicine- Ophthalmology, University of Udine, Udine, Italy. paolo.lanzetta@uniud.it.
University of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the presence of sickle cell retinopathy and maculopathy and to identify associations between markers of hemolysis and systemic and ocular manifestations in children affected by sickle cell disease.

methodsEighteen children with sickle cell disease, aged 5-16 years, underwent complete eye examination including best-corrected visual acuity, slit-lamp biomicroscopy, ophthalmoscopy after pharmacological mydriasis, spectral-domain optical coherence tomography (SD-OCT), and optical coherence tomography angiography (OCTA). Blood test results and clinical history information were collected for each child, including fetal hemoglobin (HbF), hemoglobin (Hb), hematocrit (Htc), mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration (MCHC), reticulocytes percentage (%ret), lactic dehydrogenase (LDH), total and direct bilirubin, glomerular filtration rate, number of painful crises, acute chest syndromes, and splenic sequestration. Therapeutic regimen and transfusion therapy were also evaluated.

resultsSixteen of 36 eyes (44.4%) had non-proliferative sickle cell retinopathy on ophthalmoscopic evaluation. No patients had proliferative sickle cell retinopathy. In 13 of 36 eyes (36.1%), SD-OCT and OCTA detected signs of sickle cell maculopathy. Nine eyes (25%) presented sickle cell retinopathy and maculopathy, 7 eyes (19.4%) sickle cell retinopathy alone, and 4 eyes (11.1%) sickle cell maculopathy alone. A statistically significant association was found between sickle cell retinopathy; lower levels of HbF, Hb, and Htc; and higher MCV and percentage of reticulocytes. Sickle cell maculopathy was associated with lower values of H and Htc and higher levels of reticulocytes and total bilirubin.

conclusionsWe identified early signs of sickle cell retinopathy and maculopathy in a pediatric population with SD-OCT and OCTA. These two retinal complications were more frequent in children with higher hemolytic rates.

Indexed as

Anemia, Sickle CellMacular DegenerationRetinal DiseasesChildFluorescein AngiographyHumansRisk FactorsTomography, Optical CoherenceVisual AcuityOCT angiographyPediatric ageSickle cell diseaseSickle cell maculopathySickle cell retinopathy

Identifiers

PMID32518974
OpenAlexW3033516290

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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.