Evidence map›Paper›PMID 38402286›Full record

ArticleEye (London, England)2024

Macula vs periphery in diabetic retinopathy: OCT-angiography and ultrawide field fluorescein angiography imaging of retinal non perfusion.

Stela Vujosevic, Francesca Fantaguzzi, Paolo S Silva, Recivall Salongcay, Marco Brambilla, Emanuele Torti, Paolo Nucci, Tunde Peto

Abstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
  4. Review
  5. Article
  6. 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.

Stela VujosevicDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy. stela.vujosevic@unimi.it.ORCID http://orcid.org/0000-0001-6773-9967
Francesca FantaguzziEye Clinic, IRCCS MultiMedica, Milan, Italy.
Paolo S SilvaHarvard Department of Ophthalmology, Joslin Diabetes Center, Beetham Eye Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8024-9348
Recivall SalongcayCentre for Public Health, Queen's University Belfast, Belfast, UK.ORCID http://orcid.org/0000-0002-3930-025X
Marco BrambillaDepartment of Medical Physics, University Hospital Maggiore della Carità, Novara, Italy.
Emanuele TortiDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.ORCID http://orcid.org/0000-0001-8437-8227
Paolo NucciDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Tunde PetoCentre for Public Health, Queen's University Belfast, Belfast, UK.ORCID http://orcid.org/0000-0001-6265-0381

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectivesTo investigate the association between peripheral non-perfusion index (NPI) on ultrawide-field fluorescein angiography (UWF-FA) and quantitative OCT-Angiography (OCT-A) metrics in the macula.

methodsIn total, 48 eyes with UWF-colour fundus photos (CFP), UWF-FA (California, Optos) and OCT-A (Spectralis, Heidelberg) were included. OCT-A (3 × 3 mm) was used to determine foveal avascular zone (FAZ) parameters and vessel density (VD), perfusion density (PD), fractal dimension (FD) on superficial capillary plexus (SCP). NPI's extent and distribution was determined on UWF-FA within fovea centred concentric rings corresponding to posterior pole (<10 mm), mid-periphery (10-15 mm), and far-periphery (>15 mm) and within the total retinal area, the central macular field (6×6 mm), ETDRS fields and within each extended ETDRS field (P3-P7).

resultsMacular PD was correlated to NPI in total area of retina (Spearman ρ = 0.69, p < 0.05), posterior pole (ρ = 0.48, p < 0.05), mid-periphery (ρ = 0.65, p < 0.05), far-periphery (ρ = 0.59, p < 0.05), P3-P7 (ρ = 0,55 at least, p < 0.05 for each), central macula (ρ = 0.47, p < 0.05), total area in ETDRS (ρ = 0.55, p < 0.05). Macular VD and FD were correlated to NPI of total area of the retina (ρ = 0.60 and 0.61, p < 0.05), the mid-periphery (ρ = 0.56, p < 0.05) and far-periphery (ρ = 0.60 and ρ = 0.61, p < 0.05), and in P3-P7 (p < 0.05). FAZ perimeter was significantly corelated to NPI at posterior pole and central macular area (ρ = 0.37 and 0.36, p < 0.05), and FAZ area to NPI in central macular area (ρ = 0.36, p < 0.05).

conclusionsPerfusion macular metrics on OCT-A correlated with UWF-FA's non-perfusion (NP), particularly in the retina's mid and far periphery, suggesting that OCT-A might be a useful non-invasive method to estimate peripheral retinal NP.

Indexed as

Diabetic RetinopathyFluorescein AngiographyMacula LuteaRetinal VesselsTomography, Optical CoherenceAdultAgedFemaleHumansMaleMiddle AgedVisual Acuity

Identifiers

PMID38402286
PMCPMC11156842

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.