Evidence map›Paper›PMID 33130003›Full record

ArticleOphthalmology. Retina2021

Subretinal Deposits in Pre-eclampsia and Malignant Hypertension: Implications for Age-Related Macular Degeneration.

Oscar Otero-Marquez, Hyewon Chung, Christopher Seungkyu Lee, Eun Young Choi, Gerardo Ledesma-Gil, Sharmina Alauddin, Minsub Lee, Alauddin Bhuiyan, R Theodore Smith

Open access · greenAbstract read
In one paragraph

Article in Ophthalmology. Retina, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Preeclampsia and the Retina.Current hypertension reports · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Subretinal drusenoid deposits: An update.Taiwan journal of ophthalmology
    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

9 authors at 3 institutions in 2 countries.

Oscar Otero-MarquezDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York.
Hyewon ChungDepartment of Ophthalmology, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul, Republic of Korea.
Christopher Seungkyu LeeDepartment of Ophthalmology, The Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Eun Young ChoiDepartment of Ophthalmology, The Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Gerardo Ledesma-GilDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York.
Sharmina AlauddinDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York.
Minsub LeeDepartment of Ophthalmology, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul, Republic of Korea.
Alauddin BhuiyanDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York.
R Theodore SmithDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: rts1md@gmail.com.
Icahn School of Medicine at Mount Sinai · USKonkuk University Medical Center · KRYonsei University · KR

Funding

Validated Autofluorescence in Age-Related Macular DegenerationR01EY015520 · NEI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SMITH, ROLAND THEODORE · 2005 to 2018
$6.0M
NEI NIH HHS R01 EY015520
6 · The paper itself

Abstract

purposeTo describe the incidence of subretinal deposits that are similar in structure and stage on OCT imaging to subretinal drusenoid deposits (SDDs) in age-related macular degeneration (AMD) in patients with hypertensive choroidopathy secondary to severe pre-eclampsia and malignant hypertension (MHT) and the implications of this ischemic choroidopathy for the pathophysiologic characteristics of SDDs in AMD.

designRetrospective cross-sectional study.

participantsThirty-three pre-eclampsia patients and 25 MHT patients with serous retinal detachment (SRD) in at least 1 eye were included.

methodsSerial multimodal images, including enhanced depth imaging spectral-domain OCT of eyes with hypertensive choroidopathy secondary to pre-eclampsia and MHT, were reviewed at 2 time points, the acute phase (within 4 weeks of initial hypertensive insult) and the recovery phase (beyond 4 weeks).

main outcome measuresIncidence of SDD-like lesions in patients with hypertensive choroidopathy secondary to pre-eclampsia and MHT.

resultsSubretinal drusenoid deposit-like lesions were observed exclusively in eyes with SRD. Serous retinal detachment occurred in 87.87% of eyes of pre-eclampsia patients and in 94% of eyes of MHT patients. Subretinal drusenoid deposit-like lesions occurred in 28.57% of all eyes with SRD, in 32.76% of eyes with SRD from the pre-eclampsia group, and in 23.40% of eyes with SRD from the MHT group. Vascular imaging suggested underlying choroidal ischemia in all patients (12 eyes) in which it was performed.

conclusionsChoroidal ischemia may be the underlying mechanism of SDD-like lesions in patients with pre-eclampsia and MHT choroidopathy. These findings potentially are of utmost importance in understanding the mechanism of the reticular macular disease subtype of AMD. Reticular macular disease is characterized by the known association of choroidal insufficiency and SDD, with choroidal insufficiency postulated, but not proven, to be causative. Pre-eclampsia and MHT choroidopathy seems to be a model for lesions similar to SDD in AMD developing based on choroidal insufficiency and, as such, may offer further insights into the pathoetiologic features of SDD in AMD.

Indexed as

AdultComorbidityCross-Sectional StudiesFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansHypertension, MalignantMacular DegenerationOphthalmoscopyPre-EclampsiaPregnancyPrognosisRepublic of KoreaRetinal DrusenAge-related macular degenerationMalignant hypertensionPre-eclampsiaSerous retinal detachmentSubretinal drusenoid deposit

Identifiers

PMID33130003
PMCPMC12419202
OpenAlexW3097321561

What OpenQuestion holds

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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.