Evidence map›Paper›PMID 40025301›Full record

ArticleJournal of neurology2025

Longitudinal analysis of retinal and choriocapillaris in patients with multiple sclerosis: a 3-year study.

Mihai Bostan, Chi Li, Jia Wei Cheong, Damon Wing Kee Wong, Bingyao Tan, Munirah Binte Ismail, Gerhard Garhöfer, Ruxandra Coroleuca, Leopold Schmetterer, Alina Popa-Cherecheanu and 1 more

Abstract read
In one paragraph

Article in Journal of neurology, 2025. 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. Observational
  2. Article
  3. Article
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  5. Review
  6. Review
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

11 authors.

Mihai BostanCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Chi LiSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Jia Wei CheongSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Damon Wing Kee WongSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Bingyao TanSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Munirah Binte IsmailSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Gerhard GarhöferDepartment of Clinical Pharmacology, Medical University Vienna, Vienna, Austria.
Ruxandra CoroleucaCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Leopold SchmettererSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore.
Alina Popa-CherecheanuCarol Davila University of Medicine and Pharmacy, Bucharest, Romania. alina_cherecheanu@yahoo.com.
Jacqueline ChuaSingapore Eye Research Institute, Singapore National Eye Centre, 20 College Road, The Academia, Level 6, Discovery Tower, Singapore, 169856, Singapore. jacqueline.chua.y.m@seri.com.sg.ORCID http://orcid.org/0000-0002-6474-5293

Funding

Agency for Science, Technology and Research A20H4b0141Khoo Bridge Funding Award Duke-NUS-KBrFA/2024/088National Medical Research Council MOH-000249-00National Medical Research Council MOH-000500-00National Medical Research Council MOH-000647-00National Medical Research Council MOH-000707-00National Medical Research Council MOH-001001-00National Medical Research Council MOH-001015-00National Medical Research Council MOH-001072-06National Medical Research Council MOH-001286-00National Medical Research Council OFLCG/004c/2018-00National Research Foundation Singapore NRF2019-THE002-0006National Research Foundation Singapore NRF-CRP24-2020-0001Singapore Eye Research Institute & Nanyang Technological University SERI-NTU Advanced Ocular Engineering (STANCE) Program
6 · The paper itself

Abstract

objectivesThis study investigated the longitudinal progression of retinal structure and microvasculature over 3 years in patients with relapsing-remitting multiple sclerosis (RRMS) using optical coherence tomography (OCT) and OCT angiography (OCTA). It also explored the correlation between these changes and the Expanded Disability Status Scale (EDSS) scores.

methodsIn this prospective, longitudinal study, we enrolled 66 patients with RRMS without history of optic neuritis and 124 healthy controls. All participants underwent full ophthalmological examination, OCT/OCTA scans, and disability scoring (EDSS) at baseline and after 12 and 24 months. OCT data were analyzed for retinal layer thickness, while OCTA assessed microvascular perfusion in the retinal capillary plexuses and choriocapillaris. Statistical models evaluated yearly rates of change and their association with EDSS scores.

resultsThe patients with RRMS exhibited 3.6 times faster thinning of the inner plexiform layer (IPL; - 0.47 µm per year, P = 0.001) compared to controls over 3 years. Additionally, superficial retinal capillary layer perfusion density decreased more rapidly at - 0.44% per year (P = 0.006) in patients with MS. A strong correlation was found between worsening EDSS scores and accelerated ONL thinning (estimated coefficient: - 1.62 µm/per unit change of EDSS score, P = 0.004). DISCUSSION: This study demonstrates progressive retinal neurodegeneration and microvascular dysfunction in patients with RRMS without a history of optic neuritis. The association between ONL thinning and increased disability supports the potential of OCT/OCTA as valuable tools for monitoring disease progression and severity in RRMS.

Indexed as

ChoroidMultiple Sclerosis, Relapsing-RemittingRetinaRetinal VesselsAdultDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesTomography, Optical CoherenceExpanded disability status scaleMicrovascular dysfunctionNeurodegenerationOptical coherence tomographyOptical coherence tomography angiographyRelapsing–remitting multiple sclerosis

Identifiers

PMID40025301
PMCPMC11872746

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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.