Evidence map›Paper›PMID 33001158›Full record

ArticleInvestigative ophthalmology & visual science2020

Lamina Cribrosa Capillaries Straighten as Intraocular Pressure Increases.

Bryn L Brazile, Bin Yang, Susannah Waxman, Po Lam, Andrew P Voorhees, Yi Hua, Ralitsa T Loewen, Nils A Loewen, Joseph F Rizzo, Tatjana Jakobs and 1 more

Open access · goldAbstract read
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Two-Photon Fabrication of Donor-Specific Human Lamina Cribrosa Models.Translational vision science & technology · 2025
    Article
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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

11 authors at 4 institutions in 2 countries.

Bryn L BrazileDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Bin YangDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Susannah WaxmanDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Po LamDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Andrew P VoorheesDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Yi HuaDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Ralitsa T LoewenDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
Nils A LoewenDepartment of Ophthalmology, University of Würzburg, Würzburg, Germany.
Joseph F RizzoNeuro-Ophthalmology Service, Department of Ophthalmology, Massachusetts Eye and Ear and Harvard Medical School, Boston, Massachusetts, United States.
Tatjana JakobsDepartment of Ophthalmology, Harvard Medical School, Boston Massachusetts, United States.
Ian A SigalDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh Pennsylvania, United States.
University of Pittsburgh · USHarvard University · USMassachusetts Eye and Ear Infirmary · USUniversity of Würzburg · DE

Funding

Virus Production and Manipulation of Protein/Gene Expression ModuleP30EY008098 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Ethan A Rossi · 1989 to 2026
$17.8M
Cell Biology of Astrocytes in the Optic Nerve HeadR01EY019703 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Tatjana Claudia Jakobs · 2009 to 2026
$6.2M
Optic nerve head microstructure, biomechanics and susceptibility to glaucomaR01EY023966 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Ian A Sigal · 2014 to 2026
$3.8M
Interdisciplinary Visual Sciences (IVS) Traininig ProgramT32EY017271 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Marlene Behrmann, Paul R. Kinchington · 2008 to 2026
$3.6M
NEI NIH HHS P30 EY008098NEI NIH HHS R01 EY019703NEI NIH HHS R01 EY023966NEI NIH HHS T32 EY017271
6 · The paper itself

Abstract

Purpose: The purpose of this study was to visualize the lamina cribrosa (LC) capillaries and collagenous beams, measure capillary tortuosity (path length over straight end-to-end length), and determine if capillary tortuosity changes when intraocular pressure (IOP) increases. Methods: Within 8 hours of sacrifice, 3 pig heads were cannulated via the external ophthalmic artery, perfused with PBS to remove blood, and then perfused with a fluorescent dye to label the capillaries. The posterior pole of each eye was mounted in a custom-made inflation chamber for control of IOP with simultaneous imaging. Capillaries and collagen beams were visualized with structured light illumination enhanced imaging at IOPs from 5 to 50 mm Hg at each 5 mm Hg increment. Capillary tortuosity was measured from the images and paired two-sample t-tests were used to assess for significant changes in relation to changes in IOP. Results: Capillaries were highly tortuous at 15 mm Hg (up to 1.45). In all but one eye, tortuosity decreased significantly as IOP increased from 15 to 25 mm Hg (P < 0.01), and tortuosity decreased significantly in every eye as IOP increased from 15 to 40 mm Hg (P < 0.01). In only 16% of capillaries, tortuosity increased with elevated IOP. Capillaries had a surprisingly different topology from the collagen beams. Conclusions: Although high capillary tortuosity is sometimes regarded as potentially problematic because it can reduce blood flow, LC capillary tortuosity may provide slack that mitigates against reduced flow and structural damage caused by excessive stretch under elevated IOP. We speculate that low capillary tortuosity could be a risk factor for damage under high IOP.

Indexed as

Intraocular PressureAnimalsBlood VesselsCapillariesOcular HypertensionOptic DiskSus scrofa

Identifiers

PMID33001158
PMCPMC7545063
OpenAlexW3091055694

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.