Evidence map›Paper›PMID 37499857›Full record

ReviewProgress in retinal and eye research2023

Optical coherence tomography angiography in diabetic retinopathy.

Nadia K Waheed, Richard B Rosen, Yali Jia, Marion R Munk, David Huang, Amani Fawzi, Victor Chong, Quan Dong Nguyen, Yasir Sepah, Elizabeth Pearce

Open access · hybridAbstract readReview
In one paragraph

Review in Progress in retinal and eye research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
38.2field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

  1. Retinal microvascular alterations in sickle cell disease: a systematic review and meta-analysis of OCTA findings based on genotype and stages of retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Article
  3. Systemic Diseases and the Eye: A Translational Perspective on Diabetes.Chronic diseases and translational medicine · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. AI-driven multimodal retinal imaging for early detection and risk stratification of vascular and neurodegenerative diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  10. Article
  11. Observational
  12. Article
  13. Case series: The role of retinal ischemia in the pathogenesis and clinical manifestation of diabetic retinopathy.Optometry and vision science : official publication of the American Academy of Optometry · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

44 more citing papers are in PubMed but not listed here.

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

10 authors at 7 institutions in 2 countries.

Nadia K WaheedNew England Eye Center, Tufts University School of Medicine, Boston, MA, USA. Electronic address: nadiakwaheed@gmail.com.
Richard B RosenNew York Eye and Ear Infirmary of Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yali JiaSchool of Medicine, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA.
Marion R MunkAugenarzt-Praxisgemeinschaft Gutblick AG, Pfäffikon, Switzerland.
David HuangSchool of Medicine, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA.
Amani FawziDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Victor ChongInstitute of Ophthalmology, University College London, London, UK.
Quan Dong NguyenByers Eye Institute, Stanford University School of Medicine, Stanford, CA, USA.
Yasir SepahByers Eye Institute, Stanford University School of Medicine, Stanford, CA, USA.
Elizabeth PearceBoehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Oregon Health & Science University · USStanford University · USBoehringer Ingelheim (United States) · USIcahn School of Medicine at Mount Sinai · USNorthwestern University · USTufts University · USUniversity College London · GB

Funding

Exploring the angiogenesis-to-fibrosis transition in ischemic retinopathies RenewalR01EY030121 · NEI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Amani A Fawzi · 2020 to 2026
$2.9M
NEI NIH HHS R01 EY030121
6 · The paper itself

Abstract

There remain many unanswered questions on how to assess and treat the pathology and complications that arise from diabetic retinopathy (DR). Optical coherence tomography angiography (OCTA) is a novel and non-invasive three-dimensional imaging method that can visualize capillaries in all retinal layers. Numerous studies have confirmed that OCTA can identify early evidence of microvascular changes and provide quantitative assessment of the extent of diseases such as DR and its complications. A number of informative OCTA metrics could be used to assess DR in clinical trials, including measurements of the foveal avascular zone (FAZ; area, acircularity, 3D para-FAZ vessel density), vessel density, extrafoveal avascular zones, and neovascularization. Assessing patients with DR using a full-retinal slab OCTA image can limit segmentation errors and confounding factors such as those related to center-involved diabetic macular edema. Given emerging data suggesting the importance of the peripheral retinal vasculature in assessing and predicting DR progression, wide-field OCTA imaging should also be used. Finally, the use of automated methods and algorithms for OCTA image analysis, such as those that can distinguish between areas of true and false signals, reconstruct images, and produce quantitative metrics, such as FAZ area, will greatly improve the efficiency and standardization of results between studies. Most importantly, clinical trial protocols should account for the relatively high frequency of poor-quality data related to sub-optimal imaging conditions in DR and should incorporate time for assessing OCTA image quality and re-imaging patients where necessary.

Indexed as

Diabetes MellitusDiabetic RetinopathyMacular EdemaFluorescein AngiographyHumansRetinal VesselsTomography, Optical CoherenceDiabetic macular edemaDiabetic macular ischemiaDiabetic retinopathyOptical coherence tomographyOptical coherence tomography angiography

Identifiers

PMID37499857
PMCPMC11268430
OpenAlexW4385321423

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.