Evidence map›Paper›PMID 34673279›Full record

Observational studyOphthalmology. Glaucoma

Dynamic Alterations in Blood Flow in Glaucoma Measured with Laser Speckle Contrast Imaging.

Alfred Vinnett, Jayanth Kandukuri, Christopher Le, Kyoung-A Cho, Avigyan Sinha, Samuel Asanad, Ginger Thompson, Victoria Chen, Abhishek Rege, Osamah J Saeedi

2 registry-linked trialsOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Ophthalmology. Glaucoma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT05726058 narecruitingnot on this map

Ocular Blood Flow Imaging for Glaucoma Assessment

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2023 to 2028Enrolled150ConditionsGlaucomaArmsXyCAM with oxygen
NCT07641738 not yet recruitingnot on this map

Evaluation of Patients With Retinal Disorders Utilizing the XyCAM CRE Camera.

TypeobservationalSponsorStuart Terry Eye AssociatesRan2026 to 2030Enrolled350ConditionsMicrovascular Disease, Retinal DiseaseArmsXyCAM CRE Imaging
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 22 citations in OpenAlex.

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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 3 institutions in 1 country.

Alfred VinnettDepartment of Ophthalmology and Visual Sciences, University of Maryland Baltimore, Baltimore, Maryland.
Jayanth KandukuriVasoptic Medical, Inc, Baltimore, Maryland.
Christopher LeDepartment of Ophthalmology and Visual Sciences, University of Maryland Baltimore, Baltimore, Maryland.
Kyoung-A ChoVasoptic Medical, Inc, Baltimore, Maryland.
Avigyan SinhaVasoptic Medical, Inc, Baltimore, Maryland.
Samuel AsanadDepartment of Ophthalmology and Visual Sciences, University of Maryland Baltimore, Baltimore, Maryland.
Ginger ThompsonDepartment of Ophthalmology/Hamilton Eye Institute, University of Tennessee Health Sciences Center, Memphis, Tennessee.
Victoria ChenDepartment of Ophthalmology and Visual Sciences, University of Maryland Baltimore, Baltimore, Maryland.
Abhishek RegeVasoptic Medical, Inc, Baltimore, Maryland.
Osamah J SaeediDepartment of Ophthalmology and Visual Sciences, University of Maryland Baltimore, Baltimore, Maryland. Electronic address: osaeedi@som.umaryland.edu.
University of Maryland, Baltimore · USVasoptic Medical (United States) · USUniversity of Tennessee Health Science Center · US

Funding

Direct Measures of Retinal Blood Flow and Autoregulation as Robust Biomarkers for Early GlaucomaR01EY031731 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI SAEEDI, OSAMAH JAWAID · 2021 to 2025
$1.6M
Role of Capillary Flow and Autoregulation in Primary Open Angle GlaucomaK23EY025014 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI SAEEDI, OSAMAH JAWAID · 2015 to 2019
$1.0M
NEI NIH HHS K23 EY025014NEI NIH HHS R01 EY031731
6 · The paper itself

Abstract

purposeTo assess the repeatability of blood flow velocity index (BFVi) metrics obtained with a recently Food and Drug Administration-cleared laser speckle contrast imaging device, the XyCAM RI (Vasoptic Medical, Inc), and to characterize differences in these metrics among control, glaucoma suspect, and glaucoma participants.

designProspective, observational study.

participantsForty-six participants: 20 control, 16 glaucoma suspect, and 10 glaucoma participants, 1 eye per participant.

methodsKey dynamic BFVi metrics-mean, peak, dip, volumetric rise index (VRI), volumetric fall index (VFI), time to rise (TtR), time to fall (TtF), blow-out time (BOT), skew, and acceleration time index-were measured in the optic disc, optic disc vessels, optic disc perfusion region, and macula in 4 imaging sessions on the same day. Intrasession and intersession variability were calculated using the coefficient of variation (CV) for each metric in each region of interest (ROI). Values for each dynamic BFVi variable were compared between glaucoma, glaucoma suspect, and control participants using bivariate and multivariate analysis. Pearson correlation coefficients were used to correlate each variable in each ROI with age, intraocular pressure, cup-to-disc ratio (CDR), mean deviation, pattern standard deviation, retinal nerve fiber layer thickness, and minimum rim width.

main outcome measuresCoefficient of variation for the intrasession and intersession variability for each dynamic BFVi metric in each ROI and differences in each metric in each ROI between each diagnostic group.

resultsIntersession CV for mean, peak, dip, VRI, VFI, TtR, and TtF ranged from 3.2 ± 2.5% to 11.0 ± 3.8%. Age, CDR, OCT metrics, and visual field metrics showed significant correlations with dynamic BFVi variables. Peak, mean, dip, VRI, and VFI were significantly lower in patients with glaucoma than in control participants in all ROIs except the fovea. These metrics also were significantly lower in glaucoma patients than glaucoma suspect patients in the disc vessels.

conclusionsDynamic blood flow metrics measured with the XyCAM RI are reliable, are associated with structural and functional glaucoma metrics, and are significantly different among glaucoma, glaucoma suspect, and control participants. The XyCAM RI may serve as an important tool in glaucoma management in the future.

Indexed as

GlaucomaOcular HypertensionHumansLaser Speckle Contrast ImagingProspective StudiesRetinal Ganglion CellsTomography, Optical CoherenceUnited StatesGlaucomaLaser speckle contrast imagingMaculaOcular blood flowOptic nerve head

Identifiers

PMID34673279
PMCPMC9013729
OpenAlexW3207142111

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.