Evidence map›Paper›PMID 36376062›Full record

ArticleThe British journal of ophthalmology2023

Detection of diabetic neovascularisation using single-capture 65°-widefield optical coherence tomography angiography.

Heiko Stino, Michael Niederleithner, Johannes Iby, Aleksandra Sedova, Thomas Schlegl, Irene Steiner, Stefan Sacu, Wolfgang Drexler, Tilman Schmoll, Rainer Leitgeb and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Widefield OCT angiography.Progress in retinal and eye research · 2025
    Review
  5. Review
  6. Modern Approach to Diabetic Retinopathy Diagnostics.Diagnostics (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
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

12 authors at 4 institutions in 3 countries.

Heiko StinoDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-0233-359X
Michael NiederleithnerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Johannes IbyDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-3927-5832
Aleksandra SedovaDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Thomas SchleglCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Irene SteinerCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Medical Statistics, Medical University of Vienna, Vienna, Austria.
Stefan SacuDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Wolfgang DrexlerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Tilman SchmollCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Rainer LeitgebCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Ursula Margarethe Schmidt-ErfurthDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-7788-7311
Andreas PollreiszDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria andreas.pollreisz@meduniwien.ac.at.ORCID 0000-0003-3902-239X
Medical University of Vienna · ATCentre for Biomedical Engineering and Physics · SECarl Zeiss (United States) · USStatistics Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the detection rate of retinal neovascularisation (NV) in eyes with proliferative diabetic retinopathy (PDR) using widefield optical coherence tomography angiography (WF-OCTA) in comparison to ultrawidefield fluorescein angiography (UWF-FA).

methodsSingle-capture 65°-WF-OCTA-imaging was performed in patients with NV at the disc or elsewhere (NVE) detected on UWF-FA using a modified PlexElite system and B-scans were examined for blood flow signals breaching the internal limiting membrane. Sensitivity of WF-OCTA and UWF colour fundus (UWF-CF) photography for correct diagnosis of PDR was determined and interdevice agreement (Fleiss' κ) between WF-OCTA and UWF-FA for detection of NV in the total gradable area and each retinal quadrant was evaluated.

resultsFifty-nine eyes of 41 patients with PDR detected on UWF-FA were included. Sensitivity of detecting PDR on WF-OCTA scans was 0.95 in contrast to 0.78 on UWF-CF images. Agreement in detecting NVE between WF-OCTA and UWF-FA was high in the superotemporal (κ=0.98) and inferotemporal (κ=0.94) and weak in the superonasal (κ=0.24) and inferonasal quadrants (κ=0.42). On UWF-FA, 63% of NVEs (n=153) were located in the temporal quadrants with 93% (n=142) of them being detected on WF-OCTA scans.

conclusionThe high reliability of non-invasive WF-OCTA imaging in detecting PDR can improve clinical examination with the potential to replace FA as a single diagnostic tool.

Indexed as

Diabetes MellitusDiabetic RetinopathyFluorescein AngiographyHumansReproducibility of ResultsRetinal VesselsTomography, Optical CoherenceImagingMaculaNeovascularisationRetina

Identifiers

PMID36376062
PMCPMC10804012
OpenAlexW4308993672

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Registered trials

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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.