Evidence map›Paper›PMID 33166501›Full record

ArticleAmerican journal of ophthalmology2021

Association of Optic Nerve Head Prelaminar Schisis With Glaucoma.

Eugene A Lowry, Steven L Mansberger, Stuart K Gardiner, Hongli Yang, Facundo Sanchez, Juan Reynaud, Shaban Demirel, Claude F Burgoyne, Brad Fortune

Open access · hybridAbstract read
In one paragraph

Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Optic nerve cavitations in glaucoma suspect and glaucoma patients.American journal of ophthalmology case reports · 2022
    Article
  6. Article
  7. Article
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  9. 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 1 institution in 1 country.

Eugene A LowryDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Steven L MansbergerDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Stuart K GardinerDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Hongli YangDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA; Optic Nerve Head Research Laboratory, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Facundo SanchezDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Juan ReynaudDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA; Optic Nerve Head Research Laboratory, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Shaban DemirelDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Claude F BurgoyneDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA; Optic Nerve Head Research Laboratory, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA.
Brad FortuneDiscoveries in Sight Research Laboratories, Devers Eye Institute, Legacy Research Institute, Legacy Health, Portland, Oregon, USA. Electronic address: bfortune@deverseye.org.
Legacy Health · US

Funding

Optic Nerve Head SDOCT Imaging in GlaucomaR01EY021281 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI BURGOYNE, CLAUDE F · 2011 to 2018
$3.7M
Functional Testing for GlaucomaR01EY020922 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI GARDINER, STUART · 2011 to 2021
$3.2M
Advancing OCT evaluation to reveal early-stage changes in glaucomaR01EY030590 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI FORTUNE, BRAD · 2019 to 2022
$2.2M
NEI NIH HHS R01 EY020922NEI NIH HHS R01 EY021281NEI NIH HHS R01 EY030590
6 · The paper itself

Abstract

purposeTo compare the frequency of observing optic nerve head (ONH) prelaminar schisis by optical coherence tomography (OCT) in glaucoma and glaucoma suspect (GL/S) eyes vs healthy control (HC) eyes and to assess its association with other markers of glaucoma severity.

methodsThis cross-sectional study included 298 eyes of 150 GL/S patients and 88 eyes of 44 HCs. OCT scans were obtained, including 24 radial B-scans, each composed of 768 A-lines spanning 15°, centered on the ONH. Two reviewers masked to all other clinical, demographic, and ocular information independently graded the OCT scans for the presence of ONH prelaminar schisis on a 4-point scale of 0 (none) to 3 (severe). The probability of ONH schisis was compared between groups and against demographic and ocular factors, including structural and functional measures of glaucoma severity.

resultsThe frequency and severity of ONH prelaminar schisis were greater in GL/S than in HC (P = .009). Among the GL/S group, 165 eyes (55.4%) had no visible schisis (Grade 0), 71 (23.8%) had Grade 1, 46 (15.4%) had Grade 2 and 16 (5.4%) had Grade 3 schisis. Among HC eyes, 59 (67.0%) had Grade 0, 24 (27.3%) had Grade 1, 5 (5.7%) had Grade 2, none had Grade 3. ONH schisis was more common in eyes with thinner MRW and a deeper cup.

conclusionsONH prelaminar schisis may be a sign of glaucomatous deformation and reflect ongoing pathophysiological damage. ONH prelaminar schisis can impact OCT image segmentation and diagnostic parameters, resulting in substantial overestimation of the true rim tissue thickness and underestimation of cup depth.

Indexed as

AdultAgedAged, 80 and overCross-Sectional StudiesFemaleFollow-Up StudiesGlaucomaHumansIntraocular PressureMaleMiddle AgedNerve FibersOptic DiskOptic Nerve DiseasesProspective StudiesRetinal Ganglion Cells

Identifiers

PMID33166501
PMCPMC7979447
OpenAlexW3095675891

What OpenQuestion holds

Textmetadata
LicenceTDM
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.