Evidence map›Paper›PMID 33151281›Full record

ArticleInvestigative ophthalmology & visual science2020

The Effect of Age on Increasing Susceptibility to Retinal Nerve Fiber Layer Loss in Glaucoma.

Alessandro A Jammal, Samuel I Berchuck, Atalie C Thompson, Vital P Costa, Felipe A Medeiros

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 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.1field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  6. Ocular Manifestations in Patients with Werner Syndrome.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. Pericytes in the optic nerve head.Progress in retinal and eye research · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Observational
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  15. Article
  16. 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

5 authors at 2 institutions in 2 countries.

Alessandro A JammalVision, Imaging and Performance Laboratory, Duke Eye Center, and Department of Ophthalmology, Duke University, Durham, North Carolina, United States.
Samuel I BerchuckVision, Imaging and Performance Laboratory, Duke Eye Center, and Department of Ophthalmology, Duke University, Durham, North Carolina, United States.
Atalie C ThompsonVision, Imaging and Performance Laboratory, Duke Eye Center, and Department of Ophthalmology, Duke University, Durham, North Carolina, United States.
Vital P CostaDepartment of Ophthalmology, Universidade Estadual de Campinas, Campinas, Brazil.
Felipe A MedeirosVision, Imaging and Performance Laboratory, Duke Eye Center, and Department of Ophthalmology, Duke University, Durham, North Carolina, United States.
Duke University · USUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

The BCI (Brain Computer Interface) Glaucoma Study: Objective Home-Based Detection of Progressive Visual Function Loss in GlaucomaR01EY029885 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ASRANI, SANJAY, MEDEIROS, FELIPE · 2019 to 2022
$2.2M
Objective Quantification of Neural Damage for Screening, Diagnosis and Monitoring of Glaucoma with Fundus PhotographsR21EY031898 · NEI · DUKE UNIVERSITY · PI MEDEIROS, FELIPE · 2020 to 2021
$437k
NEI NIH HHS R01 EY029885NEI NIH HHS R21 EY031898
6 · The paper itself

Abstract

Purpose: To determine whether aging modifies the effect of intraocular pressure (IOP) on progressive glaucomatous retinal nerve fiber layer (RNFL) thinning over time. Methods: This was a retrospective cohort study involving patients with glaucoma or suspected of having glaucoma who were followed over time from the Duke Glaucoma Registry. Rates of RNFL loss from spectral-domain optical coherence tomography (SD-OCT) were used to assess disease progression. Generalized estimating equations with robust sandwich variance estimators were used to investigate the effects of the interaction of age at baseline and mean IOP on rates of RNFL loss over time. Models were adjusted for gender, race, diagnosis, central corneal thickness, follow-up time, and baseline disease severity. Results: The study included 85,475 IOP measurements and 60,026 SD-OCT tests of 14,739 eyes of 7814 patients. Eyes had a mean follow-up time of 3.5 ± 1.9 years. The average rate of change in RNFL thickness was -0.70 µm/year (95% confidence interval, -0.72 to -0.67). There was a significant interaction between age and mean IOP and the rate of RNFL loss (P = 0.001), with older eyes having significantly faster rates of RNFL loss than younger ones for the same level of IOP. The effect of IOP on rates of change was greater in the inferior and superior regions of the optic disc. Conclusions: Age is a significant modifier of the relationship between IOP and glaucomatous loss in RNFL thickness over time. Older patients may be more susceptible to glaucomatous progression than younger patients at the same level of IOP.

Indexed as

AdolescentAdultAgedAge FactorsAgingDisease SusceptibilityFemaleGlaucoma, Open-AngleHumansIntraocular PressureMaleMiddle AgedNerve FibersOcular HypertensionOptic Nerve DiseasesRetinal Ganglion Cells

Identifiers

PMID33151281
PMCPMC7645210
OpenAlexW3096754356

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.