Evidence map›Paper›PMID 35729357›Full record

Observational studyActa diabetologica2022

Abnormalities of the oculomotor function in type 1 diabetes and diabetic neuropathy.

Francesca D'Addio, Ida Pastore, Cristian Loretelli, Alessandro Valderrama-Vasquez, Vera Usuelli, Emma Assi, Chiara Mameli, Maddalena Macedoni, Anna Maestroni, Antonio Rossi and 13 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Acta diabetologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04608890 (Eye-tracking-based Artificial Intelligence Detects Abnormalities of the Oculomotor System in Type 1 Diabetes), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT04608890 completednot on this map

Eye-tracking-based Artificial Intelligence Detects Abnormalities of the Oculomotor System in Type 1 Diabetes

TypeobservationalSponsorUniversity of MilanRan2020 to 2021Enrolled40ConditionsDiabetic NeuropathiesArmsEye-tracking video test
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 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

23 authors at 5 institutions in 2 countries.

Francesca D'Addio *International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Ida Pastore *Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Cristian Loretelli *International Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Alessandro Valderrama-VasquezNephrology Division, Boston Children's Hospital and Transplantation Research Center, Brigham and Women's Hospital, Harvard Medical School, 300 Longwood Ave., Boston, MA, 02115, USA.
Vera UsuelliInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Emma AssiInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Chiara MameliDepartment of Pediatrics, Buzzi Children's Hospital, Milan, Italy.
Maddalena MacedoniDepartment of Pediatrics, Buzzi Children's Hospital, Milan, Italy.
Anna MaestroniInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Antonio RossiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Maria Elena LunatiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Paola Silvia MorpurgoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Alessandra GandolfiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Laura MontefuscoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Andrea Mario BollaDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Moufida Ben NasrInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Stefania Di MaggioInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy.
Lisa MelziNeuro-Ophthalmology Center and Ocular Electrophysiology Laboratory, IRCCS Istituto Auxologico Italiano, Capitanio Hospital, Milan, Italy.
Giovanni StaurenghiClinica Oculistica, ASST Fatebenefratelli-Sacco, Università di Milano, Milan, Italy.
Antonio SecchiTransplant Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Stefania Bianchi MarzoliNeuro-Ophthalmology Center and Ocular Electrophysiology Laboratory, IRCCS Istituto Auxologico Italiano, Capitanio Hospital, Milan, Italy.
Gianvincenzo ZuccottiPediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC, Università di Milano and Department of Pediatrics, Buzzi Children's Hospital, Milan, Italy.
Paolo FiorinaInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, Università di Milano, Milan, Italy. paolo.fiorina@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-1093-7724
ASST Fatebenefratelli Sacco · ITBrigham and Women's Hospital · USIRCCS Istituto Auxologico Italiano · ITOspedale dei Bambini Vittore Buzzi · ITIRCCS Ospedale San Raffaele · IT

Funding

European Foundation for the Study of Diabetes EFSD/JDRF/Lilly Programme on Type 1 Diabetes Research 2019Ministero della Salute RF-2016-02362512
6 · The paper itself

Abstract

aimsAbnormalities in the oculomotor system may represent an early sign of diabetic neuropathy and are currently poorly studied. We designed an eye-tracking-based test to evaluate oculomotor function in patients with type 1 diabetes.

methodsWe used the SRLab-Tobii TX300 Eye tracker®, an eye-tracking device, coupled with software that we developed to test abnormalities in the oculomotor system. The software consists of a series of eye-tracking tasks divided into 4 classes of parameters (Resistance, Wideness, Pursuit and Velocity) to evaluate both smooth and saccadic movement in different directions. We analyzed the oculomotor system in 34 healthy volunteers and in 34 patients with long-standing type 1 diabetes.

resultsAmong the 474 parameters analyzed with the eye-tracking-based system, 11% were significantly altered in patients with type 1 diabetes (p < 0.05), with a higher proportion of abnormalities observed in the Wideness (24%) and Resistance (10%) parameters. Patients with type 1 diabetes without diabetic neuropathy showed more frequently anomalous measurements in the Resistance class (p = 0.02). The classes of Velocity and Pursuit were less frequently altered in patients with type 1 diabetes as compared to healthy subjects, with anomalous measurements mainly observed in patients with diabetic neuropathy.

conclusionsAbnormalities in oculomotor system function can be detected in patients with type 1 diabetes using a novel eye-tracking-based test. A larger cohort study may further determine thresholds of normality and validate whether eye-tracking can be used to non-invasively characterize early signs of diabetic neuropathy. TRIAL: NCT04608890.

Indexed as

Diabetes Mellitus, Type 1Diabetic NeuropathiesCohort StudiesHumansPursuit, SmoothSaccadesDiabetic neuropathyEye movement trackingOculomotor systemType 1 diabetes

Identifiers

PMID35729357
PMCPMC9329167
OpenAlexW4283263959

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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.