Evidence map›Paper›PMID 32891695›Full record

Observational studyAmerican journal of ophthalmology2021

Birth Weight Is a Significant Predictor of Retinal Nerve Fiber Layer Thickness at 36 Weeks Postmenstrual Age in Preterm Infants.

Liangbo L Shen, Shwetha Mangalesh, Brendan McGeehan, Vincent Tai, Neeru Sarin, Mays A El-Dairi, Sharon F Freedman, Maureen G Maguire, Cynthia A Toth, BabySTEPS Group

2 registry-linked trialsOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 15% 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.

NCT02887157 completednot on this map

Analyzing Retinal Microanatomy in Retinopathy of Prematurity to Improve Care (BabySTEPS)

TypeobservationalSponsorDuke UniversityRan2016 to 2021Enrolled191ConditionsRetinopathy of Prematurity, Neurodevelopmental Disorders, Macular EdemaArmsSwept Source OCT, Magnetic Resonance Imaging, Scavenged blood collection
NCT04995341 narecruitingnot on this map

Analyzing Retinal Microanatomy in Retinopathy of Prematurity to Improve Care 2 and School Age Follow on Study (BabySTEPS2)

TypeinterventionalSponsorDuke UniversityRan2021 to 2027Enrolled236ConditionsRetinopathy of PrematurityArmsInvestigational ultracompact OCT and OCTA system, retinal photographs
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Retinal Nerve Fiber Layer Thickness in Children: The Ural Children Eye Study.Investigative ophthalmology & visual science · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Insights into the developing fovea revealed by imaging.Progress in retinal and eye research · 2022
    Review
  9. Observational
  10. 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

10 authors at 3 institutions in 1 country.

Liangbo L ShenDepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, USA.
Shwetha MangaleshDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA.
Brendan McGeehanDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Vincent TaiDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA.
Neeru SarinDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA.
Mays A El-DairiDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA.
Sharon F FreedmanDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA.
Maureen G MaguireDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Cynthia A TothDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina, USA; Department of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina, USA. Electronic address: cynthia.toth@duke.edu.
BabySTEPS Group
Duke University · USUniversity of Pennsylvania · USYale University · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
Analyzing Retinal Microanatomy in Retinopathy of Prematurity to Improve CareR01EY025009 · NEI · DUKE UNIVERSITY · PI Xi Chen, CYNTHIA ANN TOTH · 2016 to 2026
$6.6M
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY025009
6 · The paper itself

Abstract

purposeTo assess retinal nerve fiber layer (RNFL) thickness in preterm infants.

designProspective observational study.

methodsWe imaged 83 awake infants (159 eyes) at 36 ± 1 weeks postmenstrual age (defined as the time elapsed between the first day of the last maternal menstrual period and the time at imaging) using a handheld optical coherence tomography (OCT) system at the bedside. Blinded graders semi-automatically segmented RNFL in the papillomacular bundle (-15 to +15° relative to the fovea-optic nerve axis). We correlated RNFL thickness and 7 characteristics of interest (sex, race, ethnicity, gestational age, birth weight, stage of retinopathy at prematurity, and presence of pre-plus or plus disease) via univariable and multivariable regressions.

resultsRNFL was 3.4 μm thicker in the right eyes than in the left eyes (P < .001). Among 7 characteristics, birth weight was the only independent predictor of RNFL thickness (P < .001). A 250-g increase in birth weight was associated with 5.2 μm (95% confidence interval: 3.3-7.0) increase in RNFL thickness. Compared with very preterm infants, extremely preterm infants had thinner RNFL (58.0 ± 10.7 μm vs 63.4 ± 10.7 μm, P = .03), but the statistical significance disappeared after adjustment for birth weight (P = .25). RNFL thickness was 11.2 μm thinner in extremely low birth weight infants than in very low birth weight infants (55.5 ± 8.3 μm vs. 66.7 ± 10.2 μm; P < .001). The difference remained statistically significant after adjustment for gestational age.

conclusionBirth weight is a significant independent predictor of RNFL thickness near birth, implying that the retinal ganglion cells reserve is affected by intrauterine processes that affect birth weight.

Indexed as

Birth WeightInfant, PrematureVisual AcuityCross-Sectional StudiesFemaleFollow-Up StudiesGestational AgeHumansInfantMaleNerve FibersOptic DiskProspective StudiesRetinal Ganglion CellsRetinopathy of PrematurityTomography, Optical Coherence

Identifiers

PMID32891695
PMCPMC7930155
OpenAlexW3083078890

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.