Evidence map›Paper›PMID 37287365›Full record

ArticleCNS neuroscience & therapeutics2023

Retinal microvascular and structural changes in intracranial hypertension patients correlate with intracranial pressure.

William Robert Kwapong, Le Cao, Ruosu Pan, Hang Wang, Chen Ye, Wendan Tao, Junfeng Liu, Bo Wu

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Microvascular Ultrasound Imaging in the Neonatal Brain: From Advanced Doppler to Super-Resolution.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2025
    Review
  7. Article
  8. Observational
  9. Observational
  10. Article
  11. Observational
  12. Article
  13. Influence of Carotid Artery Stenting on the Retina and Choroid.Translational vision science & technology · 2024
    Article
  14. 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

8 authors at 1 institution in 1 country.

William Robert KwapongDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-9633-4694
Le CaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Ruosu PanDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Hang WangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Chen YeDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0003-2969-5486
Wendan TaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Junfeng LiuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Bo WuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Sichuan University · CN

Funding

1.3.5 project for disciplines of excellence of West China Hospital, Sichuan University ZYGD18009Medical-Engineering Integration Interdisciplinary Talent Training Fund Project of West China Hospital, Sichuan University and University of Electronic Science and Technology of China HXDZ22011/ZYGX2022YGRH017National Natural Science Foundation of China 81901199National Natural Science Foundation of China 82071320National Natural Science Foundation of China 8601022Post Doctor Research Project, West China Hospital, Sichuan University 2021HXBH081
6 · The paper itself

Abstract

aimsWe aimed to evaluate the retinal microvascular and structural changes in intracranial hypertension (IH) patients compared with an age- and sex-matched control group. We also investigated the association between clinical parameters and retinal changes in IH patients.

methodsIntracranial hypertension patients were divided into eyes with papilledema (IH-P) and eyes without papilledema (IH-WP). IH patients underwent lumbar puncture to measure intracranial pressure (ICP); visual acuity was performed using the Snellen chart. Optical coherence tomography (OCT) was used to image and measure the retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GCIPL) while OCT angiography was used to image and measure the superficial vascular complex (SVC) and deep vascular complex (DVC).

resultsIntracranial hypertension patients showed reduced microvascular densities and thinner retinal thicknesses compared with the control group (all p < 0.001). Compared with the control group, IH-P showed reduced microvascular densities and thinner retinal thicknesses (all p < 0.001). IH-P showed reduced SVC density and thinner retinal thicknesses when compared with IH-WP (p = 0.008 for SVC, p = 0.025 for RNFL, and p = 0.018 for GCIPL). ICP correlated with the microvascular densities and GCIPL thickness in IH patients (p = 0.025 for GCIPL, p = 0.004 for SVC, and p = 0.002 for DVC). A significant association of ICP with SVC (p = 0.010) and DVC (p = 0.005) densities were also found in IH-P.

conclusionsGiven the observed differences in these noninvasive retinal imaging markers, further research into their clinical utility in IH is needed.

Indexed as

Intracranial HypertensionPapilledemaHumansIntracranial PressureNerve FibersRetinal Ganglion CellsTomography, Optical Coherenceintracranial hypertensionintracranial pressurepapilledemaretinal microvasculatureretinal structure

Identifiers

PMID37287365
PMCPMC10651994
OpenAlexW4379768986

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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.