Evidence map›Paper›PMID 33203157›Full record

ArticleJournal of personalized medicine2020

Ocular Vascular Changes in Mild Alzheimer's Disease Patients: Foveal Avascular Zone, Choroidal Thickness, and ONH Hemoglobin Analysis.

Elena Salobrar-Garcia, Carmen Méndez-Hernández, Rosa de Hoz, Ana I Ramírez, Inés López-Cuenca, José A Fernández-Albarral, Pilar Rojas, Surina Wang, Julián García-Feijoo, Pedro Gil and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
4.9field-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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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  8. Review
  9. Ocular changes as potential biomarkers for early diagnosis of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
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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

12 authors at 3 institutions in 1 country.

Elena Salobrar-GarciaInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0001-5939-5551
Carmen Méndez-HernándezOFTARED-ISCIII, 28040 Madrid, Spain.
Rosa de HozInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0002-1581-087X
Ana I RamírezInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0002-2656-4723
Inés López-CuencaInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0003-0511-515X
José A Fernández-AlbarralInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0003-0399-7996
Pilar RojasInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0001-9137-2261
Surina WangHospital Clínico San Carlos, Institute of Health Care Research of the Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain.
Julián García-FeijooInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.
Pedro GilUnidad de Memoria, Servicio de Geriatría, Hospital Clínico San Carlos, 28040 Madrid, Spain.
Juan J SalazarInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0001-5480-5902
José M RamírezInstituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain.ORCID 0000-0002-5145-5094
Universidad Complutense de Madrid · ESHospital Clínico San Carlos · ESInstituto de Salud Carlos III · ES

Funding

Instituto de Salud Carlos III PI09/90933Instituto de Salud Carlos III RD16/0008/0004Instituto de Salud Carlos III RD16/0008/0005Ministerio de Ciencia, Innovación y Universidades FPU17/01023Universidad Complutense de Madrid CT42/18-CT43/18
6 · The paper itself

Abstract

In Alzheimer's disease (AD), vascular changes could be caused by amyloid beta (Aβ) aggregates replacing the contractile smooth musculature of the arteriole walls. These changes happen in the brain vascular network, but also in the eye, and are related to decreased vascular density and low blood flow. In patients with Alzheimer's disease, thinning of the choroid and the retina has been shown. The aim of this prospective study was to assess the retinal and choroidal vascular systems, analyzing the choroidal thickness with optical coherence tomography (OCT), the foveal avascular zone (FAZ) with OCT-angiography (OCTA), and the optic nerve head (ONH) hemoglobin with the Laguna ONhE program, to evaluate which of the two ocular vascular systems shows earlier changes in mild AD patients. These patients, compared to controls, showed a significantly thinner choroid at all the analyzed points, with the exception of the temporal macula (at 1000 and 1500 µm from the fovea). On the other hand, the FAZ and ONH hemoglobin did not show significant differences. In conclusion, a thinner choroid was the main ocular vascular change observed in mild AD patients, while the retinal vessels were not yet affected. Therefore, choroidal thickness could be used an early biomarker in AD.

Indexed as

Alzheimer’schoroideye vascular networkLaguna ONhEOCTOCTAoptic nerve head hemoglobinretina

Identifiers

PMID33203157
PMCPMC7712569
OpenAlexW3102461791

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.