Evidence map›Paper›PMID 37355755›Full record

ArticleEye (London, England)2023

Phenotypic expressions of the optic disc in primary open-angle glaucoma.

Lourdes Grassi, Diana Salazar Vega, Agustina De Gainza, Ella Bouris, Esteban Morales, Joseph Caprioli

Open access · greenAbstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 4 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

6 authors at 2 institutions in 2 countries.

Lourdes GrassiGlaucoma Division, Jules Stein Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
Diana Salazar VegaDepartment of Ophthalmology, Vision Consultants and Surgeons, Falls Church, VA, USA.
Agustina De GainzaHospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Ella BourisGlaucoma Division, Jules Stein Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
Esteban MoralesGlaucoma Division, Jules Stein Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
Joseph CaprioliGlaucoma Division, Jules Stein Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, USA. caprioli@jsei.ucla.edu.
University of California, Los Angeles · USHospital Italiano de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhich phenotypes are we able to recognize in the optic nerve of patients with primary open angle glaucoma?

methodsRetrospective interventional case series. 885 eyes from 885 patients at an outpatient tertiary care centre who met specified criteria for POAG were included. Disc photographs were classified by three glaucoma specialists into the following phenotypes according to their predominant characteristics: (1) concentric rim thinning, (2) focal rim thinning, (3) acquired pit of the optic nerve (APON), (4) tilted, (5) extensive peripapillary atrophy (PPA), and (6) broad rim thinning. Demographic, medical, and ocular data were collected. Kruskal-Wallis was used as a non-parametric test and pairwise comparison was performed by using Wilcoxon rank sum test corrected.

resultsPhenotypic distribution was as follows: 398(45%) focal thinning, 153(18%) concentric thinning, 153(17%) broad thinning, 109(12%) tilted, 47(5%) extensive PPA and 25(3%) APON. Phenotypic traits of interest included a higher proportion of female patients with the focal thinning phenotype (p = 0.015); myopia (p = 0.000), Asian race (OR: 8.8, p = 0.000), and younger age (p = 0.000) were associated with the tilted phenotype; the concentric thinning patients had thicker RNFL (p = 0.000), higher MD (p = 0.008) and lower PSD (p = 0.043) than broad thinning, despite no difference in disc sizes (p = 0.849). The focal thinning group had a localized VF pattern with high PSD compared to concentric thinning (p = 0.005).

conclusionWe report six phenotypic classifications of POAG patients with demographic and ocular differences between phenotypes. Future refinement of phenotypes should allow enhanced identification of genetic associations and improved individualization of patient care.

Indexed as

Glaucoma, Open-AngleOptic DiskFemaleHumansIntraocular PressureRetrospective StudiesTomography, Optical CoherenceVisual Fields

Identifiers

PMID37355755
PMCPMC10698030
OpenAlexW4381890944

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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.