Evidence map›Paper›PMID 36056113›Full record

ArticleScientific reports2022

Relative ellipsoid zone reflectivity and its association with disease severity in age-related macular degeneration: a MACUSTAR study report.

Marlene Saßmannshausen, Charlotte Behning, Ben Isselmann, Matthias Schmid, Robert P Finger, Frank G Holz, Steffen Schmitz-Valckenberg, Maximilian Pfau, MACUSTAR Consortium, Sarah Thiele

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 23 citations in OpenAlex.

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  9. The outer nuclear layer changes in full-thickness macular holes according to the restoration of the outer retinal layer postoperatively.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  11. Early Photoreceptor Alterations After Retinal Detachment Repair.Investigative ophthalmology & visual science · 2025
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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 20 institutions in 9 countries.

Marlene SaßmannshausenDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Charlotte BehningInstitute for Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.
Ben IsselmannDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Matthias SchmidInstitute for Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.
Robert P FingerDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Frank G HolzDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Steffen Schmitz-ValckenbergDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Maximilian PfauDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
MACUSTAR Consortium
Sarah ThieleDepartment of Ophthalmology, University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. sarah.thiele@ukbonn.de.
University of Bonn · DENovartis (Switzerland) · CHAssociation for Innovation and Biomedical Research on Light and Image · PTCity, University of London · GBInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DEBayer (Germany) · DEEuropean Clinical Research Infrastructure Network · FRUniversity College London · GBUniversity of Sheffield · GBCentre hospitalier national d'ophtalmologie des Quinze-Vingts · FRFondazione G.B. Bietti · ITHospital de São João · PTLudwig-Maximilians-Universität München · DERadboud University Medical Center · NLRigshospitalet · DKSTZ eyetrial · DEUniversität Ulm · DEUniversity Hospital Cologne · DEUniversity of Ulster · GBUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quantification of the relative ellipsoid zone reflectivity (rEZR) might be a structural surrogate parameter for an early disease progression in the context of age-related macular degeneration (AMD). Within the European multicenter, cross-sectional MACUSTAR study, we have devised an automatic approach to determine the mean rEZR [arbitrary units, AU] at two independent visits in SD-OCT volume scans in study participants. Linear mixed-effects models were applied to analyze the association of AMD stage and AMD associated high-risk features including presence of pigmentary abnormalities, reticular pseudodrusen (RPD), volume of the retinal-pigment-epithelial-drusenoid-complex (RPEDC) with the rEZR. Intra-class correlation coefficients (ICC) were determined for rEZR reliability analysis. Within the overall study cohort (301 participants), we could observe decreased rEZR values (coefficient estimate ± standard error) of - 8.05 ± 2.44 AU (p = 0.0011) in the intermediate and of - 22.35 ± 3.28 AU (p < 0.0001) in the late AMD group. RPD presence was significantly associated with the rEZR in iAMD eyes (- 6.49 ± 3.14 AU; p = 0.0403), while there was a good ICC of 0.846 (95% confidence interval: 0.809; 0.876) in the overall study cohort. This study showed an association of rEZR with increasing disease severity and the presence of iAMD high-risk features. Further studies are necessary to evaluate the rEZR's value as a novel biomarker for AMD and disease progression.

Indexed as

Macular DegenerationRetinal DrusenCross-Sectional StudiesDisease ProgressionHumansReproducibility of ResultsSeverity of Illness IndexTomography, Optical Coherence

Identifiers

PMID36056113
PMCPMC9440143
OpenAlexW4294243474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.