Evidence map›Paper›PMID 37438715›Full record

ArticleBMC ophthalmology2023

Vasoreactivity of the optic nerve head, nailfold, and facial skin in response to cold provocation in normal-tension glaucoma patients.

Nana Takahashi, Naoki Kiyota, Hiroshi Kunikata, Mai Yamazaki, Takayuki Nishimura, Yukihiro Shiga, Hisae Aoyagi, Miwako Shidomi, Tomohiro Tsuda, Toshihiko Ohtsuka and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 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
1.7field-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, 6 citations in OpenAlex.

  1. Effect of IOP-lowering treatment and Pentoxifylline on retrobulbar blood flow in normal tension glaucoma: a color doppler imaging study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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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

12 authors at 3 institutions in 1 country.

Nana TakahashiDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Naoki KiyotaDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Hiroshi KunikataDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Mai YamazakiDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Takayuki NishimuraDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Yukihiro ShigaDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Hisae AoyagiDepartment of Health Science Research Planning Division, Rohto Pharmaceutical Co., Ltd, Osaka, Japan.
Miwako ShidomiDepartment of Health Science Research Planning Division, Rohto Pharmaceutical Co., Ltd, Osaka, Japan.
Tomohiro TsudaDepartment of Internal Medicine and Food Development Division, Rohto Pharmaceutical Co., Ltd, Osaka, Japan.
Toshihiko OhtsukaDepartment of Advanced Development, Casio Computer Co., Ltd, Tokyo, Japan.
Takahiro TomidaDepartment of Advanced Development, Casio Computer Co., Ltd, Tokyo, Japan.
Toru NakazawaDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan. ntoru@oph.med.tohoku.ac.jp.
Tohoku University · JPRohto Pharmaceutical (Japan) · JPCasio (Japan) · JP

Funding

JSPS KAKENHI Grants-in-Aid for Exploratory Research 26670751JSPS KAKENHI Grants-in-Aid for Scientific Research (B) 26293372JST COI JPMJCE1303
6 · The paper itself

Abstract

backgroundThe dysfunction of optic nerve head (ONH) hemodynamics has been suggested to be involved in the pathogenesis of normal-tension glaucoma (NTG). The aim of this study was to compare vasoreactivity in the ONH, nailfold, and facial skin in response to cold-water provocation in NTG patients and healthy controls.

methodsWe performed cold-water provocation in 14 eyes of 14 NTG patients and 15 eyes of 15 age-matched control subjects. Laser speckle flowgraphy-derived tissue-area mean blur rate (MT), skin blood flowmetry-derived pulse wave amplitude (PA), nailfold capillaroscopy-derived nailfold capillary diameter, and other clinical parameters were recorded at baseline and 4 and 6 min after the cold stimulus. We compared changes (as percentages) in these variables in the NTG and control subjects with a linear mixed-effects model and evaluated correlations between these changes with Spearman's rank correlation coefficient.

resultsThe interaction term between the NTG group (reference, control group) and the 4-min protocol step (reference, baseline) significantly affected the changes in MT, nailfold capillary diameter and PA (β = -9.51%, P = 0.017, β = -20.32%, P = 0.002; β =  + 18.06%, P = 0.017, respectively). The change in MT was positively correlated with the change in nailfold capillary diameter, and negatively correlated with the change in PA (r = 0.39, P = 0.036; r = -0.40, P = 0.031, respectively).

conclusionNTG patients showed abnormal vasoconstriction in the ONH and nailfold and vasodilation in the facial skin in response to cold-water provocation.

Indexed as

Low Tension GlaucomaOptic DiskHeart RateHumansAutoregulationLaser speckle flowgraphyOcular blood flowVasoreactivity

Identifiers

PMID37438715
PMCPMC10339558
OpenAlexW4384030185

What OpenQuestion holds

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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.