Evidence map›Paper›PMID 38981710›Full record

ReviewBMJ open ophthalmology2024

Assessment of local sensitivity in incomplete retinal pigment epithelium and outer retinal atrophy (iRORA) lesions in intermediate age-related macular degeneration (iAMD).

Julius Ameln, Marlene Saßmannshausen, Leon von der Emde, Alessandra Carmichael-Martins, Frank G Holz, Thomas Ach, Wolf M Harmening

Abstract readReview
In one paragraph

Review in BMJ open ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Trial
  2. Review of emerging imaging findings to reveal a broader spectrum of lesions in AMD.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. In Vivo Cone Photoreceptor Topography of the Human Foveola.Investigative ophthalmology & visual science · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Geographic atrophy: Understanding the relationship between structure and function.Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)
    Review
  13. Article
  14. 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

7 authors.

Julius AmelnDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-0486-870X
Marlene SaßmannshausenDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0001-5265-4645
Leon von der EmdeDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.ORCID 0009-0009-2630-3732
Alessandra Carmichael-MartinsDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Frank G HolzDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Thomas AchDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0001-6583-8283
Wolf M HarmeningDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany wolf.harmening@ukbonn.de.ORCID 0000-0001-7053-1198

Funding

A hyperspectral approach to RPE fluorophores in AMDR01EY027948 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ACH, THOMAS, CURCIO, CHRISTINE A · 2017 to 2025
$3.8M
NEI NIH HHS R01 EY027948
6 · The paper itself

Abstract

Lesions of incomplete retinal pigment epithelium and outer retinal atrophy (iRORA) are associated with disease progression in age-related macular degeneration. However, the corresponding functional impact of these precursor lesions is unknown.We present a cross-sectional study of four patients employing clinical-grade MAIA (stimulus size: 0.43°, ~125 µm) and adaptive optics scanning light ophthalmoscope (AOSLO, stimulus size 0.07°, ~20 µm) based microperimetry (MP) to assess the specific impact of iRORA lesions on retinal sensitivity.AOSLO imaging showed overall reduced photoreceptor reflectivity and patches of hyporeflective regions at drusen with interspersed hyper-reflective foci in iRORA regions. MAIA-MP yielded an average retinal sensitivity loss of -7.3±3.1 dB at iRORA lesions compared with the in-eye control. With AOSLO-MP, the corresponding sensitivity loss was 20.1±4.8 dB.We demonstrated that iRORA lesions are associated with a severe impairment in retinal sensitivity. Larger cohort studies will be necessary to validate our findings.

Indexed as

Macular DegenerationRetinal Pigment EpitheliumTomography, Optical CoherenceVisual Field TestsAgedAged, 80 and overAtrophyCross-Sectional StudiesFemaleHumansMaleOphthalmoscopyVisual AcuityVisual FieldsImagingRetina

Identifiers

PMID38981710
PMCPMC11256035

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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.