Evidence map›Paper›PMID 33630899›Full record

ArticlePloS one2021

Early localized alterations of the retinal inner plexiform layer in association with visual field worsening in glaucoma patients.

Rukiye Aydın, Mine Barış, Ceren Durmaz-Engin, Lama A Al-Aswad, Dana M Blumberg, George A Cioffi, Jeffrey M Liebmann, Tongalp H Tezel, Gülgün Tezel

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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 23% 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, 9 citations in OpenAlex.

  1. Sectoral analysis of macular inner retinal layers and diagnostic performance in early pseudoexfoliation glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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

9 authors at 1 institution in 1 country.

Rukiye AydınDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
Mine BarışDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.ORCID 0000-0003-1341-6737
Ceren Durmaz-EnginDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.ORCID 0000-0001-5797-6467
Lama A Al-AswadDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
Dana M BlumbergDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
George A CioffiDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
Jeffrey M LiebmannDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
Tongalp H TezelDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.
Gülgün TezelDepartment of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States of America.ORCID 0000-0001-7153-979X
Columbia University · US

Funding

Instrumentation, Fabrication, and Design CoreP30EY019007 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Xin Zhang · 2010 to 2026
$12.9M
Regulation of Glia-driven Neuroinflammation in GlaucomaR01EY028153 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI TEZEL, GULGUN · 2018 to 2021
$1.6M
NEI NIH HHS P30 EY019007NEI NIH HHS R01 EY028153
6 · The paper itself

Abstract

Glaucoma is a chronic neurodegenerative disease of the optic nerve and a leading cause of irreversible blindness, worldwide. While the experimental research using animal models provides growing information about cellular and molecular processes, parallel analysis of the clinical presentation of glaucoma accelerates the translational progress towards improved understanding, treatment, and clinical testing of glaucoma. Optic nerve axon injury triggers early alterations of retinal ganglion cell (RGC) synapses with function deficits prior to manifest RGC loss in animal models of glaucoma. For testing the clinical relevance of experimental observations, this study analyzed the functional correlation of localized alterations in the inner plexiform layer (IPL), where RGCs establish synaptic connections with retinal bipolar and amacrine cells. Participants of the study included a retrospective cohort of 36 eyes with glaucoma and a control group of 18 non-glaucomatous subjects followed for two-years. The IPL was analyzed on consecutively collected macular SD-OCT scans, and functional correlations with corresponding 10-2 visual field scores were tested using generalized estimating equations (GEE) models. The GEE-estimated rate of decrease in IPL thickness (R = 0.36, P<0.001) and IPL density (R = 0.36, P<0.001), as opposed to unchanged or increased IPL thickness or density, was significantly associated with visual field worsening at corresponding analysis locations. Based on multivariate logistic regression analysis, this association was independent from the patients' age, the baseline visual field scores, or the baseline thickness or alterations of retinal nerve fiber or RGC layers (P>0.05). These findings support early localized IPL alterations in correlation with progressing visual field defects in glaucomatous eyes. Considering the experimental data, glaucoma-related increase in IPL thickness/density might reflect dendritic remodeling, mitochondrial redistribution, and glial responses for synapse maintenance, but decreased IPL thickness/density might correspond to dendrite atrophy. The bridging of experimental data with clinical findings encourages further research along the translational path.

Indexed as

AgedAged, 80 and overAmacrine CellsBlindnessFemaleGlaucoma, Open-AngleHumansIntraocular PressureMacula LuteaMaleMiddle AgedNerve FibersOptic NerveRetinal Ganglion CellsRetrospective StudiesTomography, Optical Coherence

Identifiers

PMID33630899
PMCPMC7906339
OpenAlexW3130705124

What OpenQuestion holds

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LicenceCC BY
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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.