Evidence map›Paper›PMID 33821387›Full record

ArticleInternational ophthalmology2021

Incidence of non-glaucomatous ocular disease in patients with asymmetric optic disc cupping.

Omer Y Bialer, Michael Mimouni, Gad Dotan, Iris Deitch, Gilad Rabina, Dan D Gaton

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Article in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

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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

1 citing paper in PubMed, 1 citations in OpenAlex.

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4 · The record

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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

6 authors at 2 institutions in 1 country.

Omer Y Bialer *Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Michael Mimouni *Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel. michael@intername.co.il.
Gad DotanDepartment of Ophthalmology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Iris DeitchDepartment of Ophthalmology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Gilad RabinaSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-9206-8373
Dan D GatonDepartment of Ophthalmology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Tel Aviv University · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the incidence of non-glaucomatous ocular disease in patients with asymmetric optic disc cupping.

methodsA retrospective case series, including consecutive patients with cup-to-disc ratio (CDR) asymmetry greater than 0.2. All patients underwent a complete neuro-ophthalmological examination, automated perimetry with the Humphrey 24-2 visual fields program. Retinal nerve fibre layer thickness was measured by optical coherence tomography (OCT). The results of neuroimaging, macular OCT and blood tests were recorded as well. Patients were assigned a diagnosis of glaucomatous optic neuropathy (GON) or non-glaucomatous disease (NGD). The main outcome measure was the rate of non-glaucomatous ocular disease.

resultsA total of 120 (67 males) patients with a mean age of 71.1 ± 12.5 years met the inclusion criteria and were included in this study. The mean asymmetry in CDR between the eyes was 0.3 ± 0.13 (range, 0.2-0.9). Twenty patients (16.6%) had a visual field defect not typical for glaucoma and positive relative afferent pupillary defect was found in 24 patients (20%). Six patients were found to have newly diagnosed non-glaucomatous ocular disease: maculopathy in three patients, retinopathy in one patient and traumatic optic neuropathy in two patients. Patients with NGD were significantly younger than the patients with GON (59.8 ± 23.3 vs. 71.3 ± 11.5 years, P = 0.001). Optic disc pallor was found in 4/93 patients with glaucoma compared to 3/6 with newly diagnosed non-glaucomatous disease (4.7% vs. 50.0%, P = 0.03).

conclusionsAsymmetric optic disc cupping can be associated with non-glaucomatous disease and may warrant neuro-ophthalmological evaluation, especially in younger patients or those with optic disc pallor.

Indexed as

GlaucomaOptic DiskAgedAged, 80 and overHumansIncidenceIntraocular PressureMaleMiddle AgedNerve FibersRetrospective StudiesTomography, Optical CoherenceVisual FieldsVisual Field TestsAsymmetric cup-to-disc-ratioGlaucomaNeuro-ophthalmologyOptic neuropathy

Identifiers

PMID33821387
OpenAlexW3146754722

What OpenQuestion holds

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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.