Evidence map›Paper›PMID 34634364›Full record

Trial reportOphthalmology2022

Ocular Biometric Risk Factors for Progression of Primary Angle Closure Disease: The Zhongshan Angle Closure Prevention Trial.

Benjamin Y Xu, David S Friedman, Paul J Foster, Yu Jiang, Natalia Porporato, Anmol A Pardeshi, Yuzhen Jiang, Beatriz Munoz, Tin Aung, Mingguang He

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
9.0field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 79 citations in OpenAlex.

  1. Trial
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  7. Automated iridocorneal angle classification using a multimodal large language model.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  8. Article
  9. Article
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  12. Predictors of visual field progression in acute and primary angle-closure disease: role of posture-related IOP changes and anterior segment structure.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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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

10 authors at 6 institutions in 4 countries.

Benjamin Y XuRoski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address: benjamin.xu@med.usc.edu.
David S FriedmanGlaucoma Center of Excellence, Massachusetts Eye and Ear, Harvard University, Boston, Massachusetts.
Paul J FosterNIHR Biomedical Research Centre at Moorfields Eye Hospital and UCL Institute of Ophthalmology, London, United Kingdom.
Yu JiangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.
Natalia PorporatoSingapore Eye Research Institute and Singapore National Eye Centre, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore.
Anmol A PardeshiRoski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.
Yuzhen JiangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.
Beatriz MunozWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Tin AungSingapore Eye Research Institute and Singapore National Eye Centre, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore.
Mingguang HeState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.
Sun Yat-sen University · CNNational University of Singapore · SGUniversity of Southern California · USJohns Hopkins University · USMassachusetts Eye and Ear Infirmary · USMoorfields Eye Hospital · GB

Funding

Development and Validation of Quantitative Anterior Segment OCT-based Methods to Evaluate Patients with Primary Angle Closure DiseaseK23EY029763 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI XU, BENJAMIN Y. · 2019 to 2023
$1.1M
NEI NIH HHS K23 EY029763
6 · The paper itself

Abstract

purposeTo assess baseline ocular biometric risk factors for progression from primary angle closure suspect (PACS) to primary angle closure (PAC) or acute angle closure (AAC).

designProspective, observational study.

participantsSix hundred forty-three mainland Chinese with untreated PACS.

methodsParticipants underwent baseline clinical examinations, including gonioscopy, anterior segment OCT (AS-OCT) imaging, and A-scan ultrasound biometry as part of the Zhongshan Angle Closure Prevention (ZAP) Trial. Primary angle closure suspect was defined as an inability to visualize pigmented trabecular meshwork in 2 or more quadrants based on static gonioscopy. Primary angle closure was defined as development of intraocular pressure above 24 mmHg or peripheral anterior synechiae. Progression was defined as development of PAC or an AAC attack. Multivariable logistic regression models were developed to assess biometric risk factors for progression.

main outcome measuresSix-year progression from PACS to PAC or AAC.

resultsSix hundred forty-three untreated eyes (609 nonprogressors, 34 progressors) of 643 participants were analyzed. In a multivariable model with continuous parameters, narrower horizontal angle opening distance of 500 μm from the scleral spur (AOD

conclusionsOcular biometric measurements can help to risk-stratify patients with early angle closure for more severe disease. Anterior segment OCT measurements of biometric parameters describing the angle and iris are predictive of progression from PACS to PAC or AAC, whereas gonioscopy grades are not.

Indexed as

AgedAnterior Eye SegmentAsian PeopleBiometryChinaDisease ProgressionFemaleGlaucoma, Angle-ClosureGonioscopyHumansIntraocular PressureMaleMiddle AgedProspective StudiesRisk FactorsTomography, Optical CoherenceAngle closure glaucomaAnterior segment OCTDisease progressionOcular biometricsPrimary angle closureRisk stratification

Identifiers

PMID34634364
PMCPMC8863620
OpenAlexW3207556852

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.