Evidence map›Paper›PMID 34878500›Full record

ArticleInvestigative ophthalmology & visual science2021

Combining OCT and OCTA for Focal Structure-Function Modeling in Early Primary Open-Angle Glaucoma.

Damon Wong, Jacqueline Chua, Bingyao Tan, Xinwen Yao, Rachel Chong, Chelvin C A Sng, Rahat Husain, Tin Aung, David Garway-Heath, Leopold Schmetterer

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Observational
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  11. Abilities of circumpapillary retinal nerve fiber layer thickness and vascular density to discriminate stages in primary open-angle glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
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  15. Retinal Oxygen Extraction in Patients with Primary Open-Angle Glaucoma.International journal of molecular sciences · 2022
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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 5 institutions in 4 countries.

Damon WongSERI-NTU Advanced Ocular Engineering (STANCE), Singapore.
Jacqueline ChuaSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Bingyao TanSERI-NTU Advanced Ocular Engineering (STANCE), Singapore.
Xinwen YaoSERI-NTU Advanced Ocular Engineering (STANCE), Singapore.
Rachel ChongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Chelvin C A SngSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Rahat HusainSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Tin AungSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
David Garway-HeathNIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Leopold SchmettererSERI-NTU Advanced Ocular Engineering (STANCE), Singapore.
Singapore National Eye Center · SGSingapore Eye Research Institute · SGMoorfields Eye Hospital NHS Foundation Trust · GBNanyang Technological University · SGNational University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate modeling of the focal visual field (VF) loss by combining structural measurements and vascular measurements in eyes with early primary open-angle glaucoma (POAG). Methods: In this cross-sectional study, subjects with early glaucoma (VF mean deviation, ≥-6 dB) underwent optical coherence tomography (OCT) imaging, optical coherence tomography angiography (OCTA) imaging, and Humphrey 24-2 VF tests. Capillary perfusion densities (CPDs) were calculated after the removal of large vessels in the OCTA images. Focal associations between VF losses at the individual VF test locations, circumpapillary retinal nerve fiber layer (RNFL) thickness measurements from OCT, and CPDs were determined using nerve fiber trajectory tracings. Linear mixed models were used to model focal VF losses at each VF test location. Results: Ninety-seven eyes with early POAG (VF mean deviation, -2.47 ± 1.64 dB) of 71 subjects were included. Focal VF modeling using a combined RNFL-CPD approach resulted in a median adjusted R2 value of 0.30 (interquartile range [IQR], 0.13-0.55), whereas the RNFL-only and CPD-only approaches resulted in median values of 0.22 (IQR, 0.10-0.51) and 0.26 (IQR, 0.10-0.52), respectively. Seventeen VF locations with the combined approach had an adjusted R2 value greater than 0.50. Likelihood testing at each VF test location showed that the combined approach performed significantly better at the superior nasal VF regions of the eyes compared with the univariate approaches. Conclusions: Modeling of focal VF losses showed improvements when structural thickness and vascular parameters were included in tandem. Evaluation of VF defects in early glaucoma may benefit from considering both RNFL and OCTA characteristics.

Indexed as

AgedComputed Tomography AngiographyCross-Sectional StudiesFemaleFluorescein AngiographyGlaucoma, Open-AngleHumansIntraocular PressureMaleMiddle AgedNerve FibersRetinal Ganglion CellsRetinal VesselsTomography, Optical CoherenceVision DisordersVisual Fields

Identifiers

PMID34878500
PMCPMC8662568
OpenAlexW4200616818

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.