Evidence map›Paper›PMID 32927150›Full record

Observational studyOphthalmology. Retina2021

Macular OCT Characteristics at 36 Weeks' Postmenstrual Age in Infants Examined for Retinopathy of Prematurity.

Shwetha Mangalesh, Brendan McGeehan, Vincent Tai, Xi Chen, Du Tran-Viet, Lejla Vajzovic, Christian Viehland, Joseph A Izatt, C Michael Cotten, Sharon F Freedman and 3 more

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

Observational study in Ophthalmology. Retina, 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Utility of handheld optical coherence tomography imaging in the surgical management of preterm infants with advanced retinopathy of prematurity.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Observational
  10. Robot Characters for Innovative Medical Eye Exams in Kids.DIS. Designing Interactive Systems (Conference) · 2025
    Article
  11. Article
  12. Article
  13. Ocular blood flow in preterm neonates.Scientific reports · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

13 authors at 2 institutions in 1 country.

Shwetha MangaleshDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Brendan McGeehanDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Vincent TaiDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Xi ChenDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Du Tran-VietDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Lejla VajzovicDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Christian ViehlandDepartment of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina.
Joseph A IzattDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina; Department of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina.
C Michael CottenDepartment of Neonatology, Duke University School of Medicine, Durham, North Carolina.
Sharon F FreedmanDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina.
Maureen G MaguireDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Cynthia A TothDepartment of Ophthalmology, Duke University School of Medicine, Durham, North Carolina; Department of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina. Electronic address: cynthia.toth@dm.duke.edu.
Study of Eye Imaging in Preterm Infants Group
Duke University · USUniversity of Pennsylvania · 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
Retinal Neurovascular Patterning in Preterm InfantsK23EY028227 · NEI · DUKE UNIVERSITY · PI CHEN, XI · 2017 to 2021
$929k
NEI NIH HHS K23 EY028227NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY025009
6 · The paper itself

Abstract

purposeTo report our ability to capture,-grade reliably, and analyze bedside macular OCT images from preterm infants and relate OCT findings to biological factors and retinopathy of prematurity (ROP) status at a single time window in the Study of Eye Imaging in Preterm Infants (BabySTEPS).

designProspective, observational study.

participantsPreterm infants eligible for ROP screening with parental consent for research and a 36 ± 1 weeks' postmenstrual age (PMA) visit.

methodsWe imaged both eyes of preterm infants with an investigational noncontact, handheld swept-source (SS) OCT at the time of clinical ROP examinations. Macular OCT features and layer thicknesses for untreated eyes of infants at 36 ± 1 weeks' PMA were compared with demographic data and clinical ROP examination performed by experts. Statistical analyses accounted for the use of both eyes of infants.

main outcome measuresMacular OCT features and layer thicknesses, gender, race or ethnicity, gestational age, birth weight, ROP stage, and plus disease.

resultsWe captured macular OCT from 169 eyes (1 eye excluded because of prior ROP treatment) at 36 ± 1 weeks' PMA. The quality of OCT volumes was excellent in 33 eyes (19%), acceptable in 112 eyes (67%), poor in 24 eyes (14%), and unusable in 0 eyes (0%). Macular edema was present in 60% of eyes and was bilateral in 82% of infants with edema. At the fovea, retinal and inner nuclear layer thickness increased with edema severity: 183 ± 36 μm and 51 ± 27 μm in mild (16% of eyes), 308 ± 57 μm and 163 ± 53 μm in moderate (25%), and 460 ± 76 μm and 280 ± 83 μm in severe edema (12%), respectively. With an increase in ROP stage from 0 to 2, the mean ± standard deviation retinal thickness at the fovea increased from 227± 124 μm to 297 ± 99 μm (P < 0.001). The choroid was thinner, 155 ± 72 μm, with preplus or plus disease versus without, 236 ± 79 μm (P = 0.04), whereas retinal thickness did not vary.

conclusionsWe demonstrated the reliability of methods and the prevalence of OCT findings in preterm infants enrolled in BabySTEPS at a single time point of 36 ± 1 weeks' PMA. Variations in layer thicknesses in infants at this time point may reflect abnormalities resulting from delay in foveal development that may be impacted by macular edema, ROP, or both.

Indexed as

PostmenopauseFemaleFollow-Up StudiesFovea CentralisGestational AgeHumansInfant, NewbornMaleOphthalmoscopyProspective StudiesRetinopathy of PrematurityTomography, Optical CoherenceVision ScreeningBabySTEPSOCTPreterm infantsRetinopathy of prematurityswept-source OCT

Identifiers

PMID32927150
PMCPMC7947027
OpenAlexW3086291562

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.