Evidence map›Paper›PMID 38284099›Full record

ReviewOphthalmology science

A New Approach to Staging Diabetic Eye Disease: Staging of Diabetic Retinal Neurodegeneration and Diabetic Macular Edema.

Roomasa Channa, Risa M Wolf, Rafael Simo, Mitchell Brigell, Patrice Fort, Christine Curcio, Stephanie Lynch, Frank Verbraak, Michael D Abramoff, Diabetic Retinal Neurodegeneration and Macular Edema working group of the Mary Tyler Moore Vision Initiative’s Diabetic Retinal Disease Staging Update Project

Open access · goldAbstract readReview
In one paragraph

Review in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Neuroprotection in Early Diabetic Retinal Disease Using Eyedrop Delivery.International journal of molecular sciences · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Neuroprotection in Diabetes Retinal Disease: An Unmet Medical Need.International journal of molecular sciences · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Diabetic retinal disease.Nature reviews. Disease primers · 2025
    Review
  13. Report of the 2023 Mary Tyler Moore Vision Initiative Workshop.Translational vision science & technology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 9 institutions in 5 countries.

Roomasa ChannaDepartment of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin.
Risa M WolfDepartment of Pediatric Endocrinology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Rafael SimoDivision of Endocrinology, Vall d'Hebron University Hospital, CIBERDEM, Barcelona, Spain.
Mitchell BrigellConsultant, Belmont, Massachusetts.
Patrice FortDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan.
Christine CurcioDepartment of Ophthalmology, University of Alabama, Birmingham, Alabama.
Stephanie LynchGeorgia Eye, Athens, Georgia.
Frank VerbraakDepartment of Ophthalmology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Michael D AbramoffDepartment of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa.
Diabetic Retinal Neurodegeneration and Macular Edema working group of the Mary Tyler Moore Vision Initiative’s Diabetic Retinal Disease Staging Update Project
Amsterdam University Medical Centers · NLBelmont Hospital · AUCentro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas · ESEmory Eye Center · USJohns Hopkins University · USUniversity of Alabama at Birmingham · USUniversity of Iowa · USUniversity of Michigan · USUniversity of Wisconsin–Madison · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Deep-Learning-Derived Endophenotypes from Retina ImagesR01EY032768 · NEI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CHEN, RUI, ZHI, DEGUI · 2022 to 2024
$1.7M
Diabetic Retinopathy: Genetics and Neurodegeneration (MSN246458)K23EY030911 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI CHANNA, ROOMASA · 2020 to 2024
$1.3M
Protective potential of functionally enhanced AlphaA-crystallin in neurodegenerationR01EY033527 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FORT, PATRICE E. · 2022 to 2022
$554k
NEI NIH HHS K23 EY030911NEI NIH HHS R01 EY032768NEI NIH HHS R01 EY033527NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

Topic: The goal of this review was to summarize the current level of evidence on biomarkers to quantify diabetic retinal neurodegeneration (DRN) and diabetic macular edema (DME). Clinical relevance: With advances in retinal diagnostics, we have more data on patients with diabetes than ever before. However, the staging system for diabetic retinal disease is still based only on color fundus photographs and we do not have clear guidelines on how to incorporate data from the relatively newer modalities into clinical practice. Methods: In this review, we use a Delphi process with experts to identify the most promising modalities to identify DRN and DME. These included microperimetry, full-field flash electroretinogram, spectral-domain OCT, adaptive optics, and OCT angiography. We then used a previously published method of determining the evidence level to complete detailed evidence grids for each modality. Results: Our results showed that among the modalities evaluated, the level of evidence to quantify DRN and DME was highest for OCT (level 1) and lowest for adaptive optics (level 4). Conclusion: For most of the modalities evaluated, prospective studies are needed to elucidate their role in the management and outcomes of diabetic retinal diseases. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

BiomarkersDiabetic retinal diseaseImaging modalitiesNeuro-retinal layers

Identifiers

PMID38284099
PMCPMC10818256
OpenAlexW4388036714

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.