Evidence map›Paper›PMID 37199803›Full record

Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2023

Fractal analysis of the macular region in healthy eyes using swept-source optical coherence tomography angiography.

Kowsigan Magesan, Ramya Gnanaraj, Jasaman Tojjar, T Amose, Ahmed Roshdy Alagorie, Maanasi Mahalingam, Parveen Sen, Aditya Verma, SriniVas R Sadda

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 7 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

9 authors at 5 institutions in 3 countries.

Kowsigan Magesan *Elite School of Optometry, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
Ramya Gnanaraj *Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, India.
Jasaman TojjarDoheny Eye Institute, Pasadena, CA, USA.
T AmoseElite School of Optometry, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
Ahmed Roshdy AlagorieDepartment of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Maanasi MahalingamElite School of Optometry, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
Parveen SenShri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, India.
Aditya VermaShri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, India.
SriniVas R SaddaDoheny Eye Institute, Pasadena, CA, USA. ssadda@doheny.org.ORCID http://orcid.org/0000-0002-4939-3306
Elite School of Optometry · INUniversity of California, Los Angeles · USDoheny Eye Institute · USTanta University · EGUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis cross-sectional observational study evaluated the relationship between retinal vascular fractal dimension (FD) and age, as well as other vascular parameters in healthy eyes using swept-source optical coherence tomography angiography (SS-OCTA).

methodsThe study cohort consisted of 222 eyes of 116 healthy participants with no ocular or systemic disease. SS-OCTA images were captured and analyzed using the Plex Elite 9000 and software tools available in the advanced retinal imaging (ARI) network hub. The retinal vascular layers were defined by the instrument's automatic retinal layer segmentation. The fractal analysis was performed on the superficial capillary plexus (SCP), deep capillary plexus (DCP), and the whole retina. Grayscale OCTA images were standardized and binarized using ImageJ and fractal box-counting analyses were performed using Fractalyse software. Pearson's correlation was used to analyze the correlation between FD and retinal vascular parameters.

resultsThe results showed that FD values were significantly higher in the 6 mm ring and the whole 6 × 6 scan region when compared to the 1 mm ETDRS central subfield. The correlation between age and FD was weak with a significant positive correlation between age and FD of the SCP in the 6 mm ring and between age and FD of the DCP in the 1 mm ring. Overall, differences in FD values in these healthy eyes were extremely small regardless of age or macular location.

conclusionFD values in normal eyes show little variation with age and are relatively stable across the macula. This suggests that FD values may not need adjustment for age or location when evaluated in the context of retinal disease.

Indexed as

Retinal VesselsTomography, Optical CoherenceCross-Sectional StudiesFluorescein AngiographyFractalsHumansDeep Capillary PlexusFractal DimensionPerfusion densitySuperficial Capillary PlexusSwept-source optical coherence tomography angiographyVessel length density

Identifiers

PMID37199803
OpenAlexW4377011606

What OpenQuestion holds

Textmetadata
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.