Evidence map›Paper›PMID 32960321›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2021

Imaging video plethysmography shows reduced signal amplitude in glaucoma patients in the area of the microvascular tissue of the optic nerve head.

Ralf-Peter Tornow, Radim Kolar, Jan Odstrcilik, Ivana Labounkova, Folkert Horn

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00494923 (Glaucoma Including Pseudoexfoliation Syndrome), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-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.

NCT00494923 unknown statusnot on this map

Glaucoma Including Pseudoexfoliation Syndrome (SFB 539)

TypeobservationalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan1999 to 2020Enrolled2,500ConditionsPrimary Open Angle Glaucoma, Secondary Open Angle Glaucoma, Ocular Hypertension
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Ralf-Peter TornowDepartment of Ophthalmology, Friedrich-Alexander-University of Erlangen-Nuremberg, 91054, Erlangen, Germany. ralf.tornow@web.de.ORCID https://orcid.org/0000-0003-2401-3618
Radim KolarDepartment of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, 616 00, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-0469-6397
Jan OdstrcilikDepartment of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, 616 00, Brno, Czech Republic.ORCID https://orcid.org/0000-0001-7053-6183
Ivana LabounkovaDepartment of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, 616 00, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-3754-7566
Folkert HornDepartment of Ophthalmology, Friedrich-Alexander-University of Erlangen-Nuremberg, 91054, Erlangen, Germany.ORCID https://orcid.org/0000-0002-2590-1169
Brno University of Technology · CZFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

Deutsche Forschungsgemeinschaft TO 115/3-1
6 · The paper itself

Abstract

purposeTo measure parameters of the cardiac cycle-induced pulsatile light absorption signal (plethysmography signal) of the optic nerve head (ONH) and to compare parameters between normal subjects and patients with different stages of glaucoma. PATIENTS AND

methodsA recently developed video ophthalmoscope was used to acquire short video sequences (10 s) of the ONH. After image registration and trend correction, the pulsatile changing light absorption at the ONH tissue (excluding large vessels) was calculated. The changing light absorption depends on the pulsatile changing blood volume. Various parameters, including peak amplitude, steepness, time-to-peak, full width at half maximum (FWHM), and pulse duration, were calculated for averaged individual pulses (heartbeats) of the plethysmography signal. This method was applied to 19 healthy control subjects and 91 subjects with ocular hypertension, as well as different stages of primary open-angle glaucoma (17 subjects with ocular hypertension, 24 with preperimetric glaucoma, and 50 with perimetric glaucoma).

resultsCompared to the normal subjects, significant reductions (p < 0.001) in peak amplitude and steepness were observed in the group of perimetric glaucoma patients, but no significant difference was found for time-to-peak, FWHM, and pulse duration. Peak amplitude and steepness showed high correlations with RNFL thickness (p < 0.001).

conclusionsThe presented low-cost video-ophthalmoscope permits measurement of the plethysmographic signal of the ONH tissue and calculation of different blood flow-related parameters. The reduced values of the amplitude and steepness parameters in perimetric glaucoma patients suggest decreased ONH perfusion and blood volume. This outcome is in agreement with results from other studies using OCT angiography and laser speckle flowgraphy, which confirm reduced capillary density in these patients. Registration site: www.clinicaltrials.gov , Trial registration number: NCT00494923.

Indexed as

GlaucomaGlaucoma, Open-AngleOptic DiskHumansIntraocular PressurePlethysmographyTomography, Optical CoherenceVisual FieldsBlood flowBlood volumeGlaucomaPerfusionRetinal plethysmography

Identifiers

PMID32960321
PMCPMC7843566
OpenAlexW3087544061

What OpenQuestion holds

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LicenceCC BY
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.