Evidence map›Paper›PMID 33165501›Full record

ArticleInvestigative ophthalmology & visual science2020

So-Called Lamina Cribrosa Defects May Mitigate IOP-Induced Neural Tissue Insult.

Andrew P Voorhees, Yi Hua, Bryn L Brazile, Bingrui Wang, Susannah Waxman, Joel S Schuman, Ian A Sigal

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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Ocular Biomechanics and Glaucoma.Vision (Basel, Switzerland) · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. High-Frequency Ultrasound Elastography to Assess the Nonlinear Elastic Properties of the Cornea and Ciliary Body.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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

7 authors at 3 institutions in 2 countries.

Andrew P VoorheesDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Yi HuaDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Bryn L BrazileDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Bingrui WangDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Susannah WaxmanDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Joel S SchumanDepartment of Ophthalmology, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, United States.
Ian A SigalDepartment of Ophthalmology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
University of Pittsburgh · USNew York University · USSouthwest Jiaotong University · CN

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
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
High-resolution Elastographic Assessment of the Optic Nerve HeadR01EY028662 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, ZHONGPING, SIGAL, IAN A · 2018 to 2021
$2.7M
Interplay between intraocular and cerebrospinal fluid pressure effects on the optic nerve head in vivoR01EY025011 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SIGAL, IAN A, WOLLSTEIN, GADI · 2015 to 2018
$1.5M
NEI NIH HHS P30 EY008098NEI NIH HHS R01 EY023966NEI NIH HHS R01 EY025011NEI NIH HHS R01 EY028662NEI NIH HHS T32 EY017271
6 · The paper itself

Abstract

Purpose: The prevailing theory about the function of lamina cribrosa (LC) connective tissues is that they provide structural support to adjacent neural tissues. Missing connective tissues would compromise this support and therefore are regarded as "LC defects", despite scarce actual evidence of their role. We examined how so-called LC defects alter IOP-related mechanical insult to the LC neural tissues. Methods: We built numerical models incorporating LC microstructure from polarized light microscopy images. To simulate LC defects of varying sizes, individual beams were progressively removed. We then compared intraocular pressure (IOP)-induced neural tissue deformations between models with and without defects. To better understand the consequences of defect development, we also compared neural tissue deformations between models with partial and complete loss of a beam. Results: The maximum stretch of neural tissues decreased non-monotonically with defect size. Maximum stretch in the model with the largest defect decreased by 40% in comparison to the model with no defects. Partial loss of a beam increased the maximum stretch of neural tissues in its adjacent pores by 162%, compared with 63% in the model with complete loss of a beam. Conclusions: Missing LC connective tissues can mitigate IOP-induced neural tissue insult, suggesting that the role of the LC connective tissues is more complex than simply fortifying against IOP. The numerical models further predict that partial loss of a beam is biomechanically considerably worse than complete loss of a beam, perhaps explaining why defects have been reported clinically but partial beams have not.

Indexed as

AnimalsBiomechanical PhenomenaConnective TissueGlaucomaIntraocular PressureMicroscopy, PolarizationModels, TheoreticalOptic DiskOptic NerveOptic Nerve DiseasesSheep

Identifiers

PMID33165501
PMCPMC7671862
OpenAlexW3105870717

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.