Evidence map›Paper›PMID 40131916›Full record

ArticlePloS one2025

Optical coherence tomography angiography and progressive retinal nerve fiber layer loss in mild to moderate open-angle glaucoma.

Zia Sultan Pradhan, Thanemozhi Srinivasan, Shruthi Sreenivasaiah, Dhanaraj As Rao, Sujani Shroff, Sathi Devi, Carroll A B Webers, Harsha Laxmana Rao

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zia Sultan PradhanDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.ORCID 0000-0003-4080-1665
Thanemozhi SrinivasanDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.
Shruthi SreenivasaiahDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.
Dhanaraj As RaoDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.
Sujani ShroffDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.
Sathi DeviDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.
Carroll A B WebersUniversity Eye Clinic Maastricht, University Medical Center, Maastricht, the Netherlands.
Harsha Laxmana RaoDepartment of glaucoma, Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.ORCID 0000-0001-5866-9856

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the association between optical coherence tomography (OCT) angiography measurements and progressive retinal nerve fiber layer (RNFL) loss in eyes with mild to moderate open-angle glaucoma.

methodsIn this prospective study, 111 quadrants of 59 eyes with mild-moderate open-angle glaucoma were longitudinally evaluated for a minimum of 2 years with at least 3 OCT scans performed. OCT angiography was performed at baseline and vessel densities in the peripapillary and parafoveal regions were determined quadrant-wise. Effect of demographic (age, sex, presence of diabetes and hypertension), clinical (mean and fluctuation of intraocular pressure, presence of pseudoexfoliation, presence of disc hemorrhages, central corneal thickness, baseline mean deviation on visual fields) and OCT angiography parameters (peripapillary and parafoveal vessel densities) on rate of RNFL change was determined using linear mixed models.

resultsAverage baseline hemifield mean deviation and quadrant RNFL thickness was -3.5 ±  2.5dB and 97 ± 18µm respectively. The mean follow-up duration was 5.0 ±  1.8 years. The rate of change of quadrant RNFL thickness (RNFL slope) was -1.67 ±  0.2 µm/year. Multivariate mixed models showed that presence of pseudoexfoliation deposits (co-efficient -0.78 ±  0.34, p = 0.025) and optic disc hemorrhages (co-efficient -0.59 ±  0.28, p = 0.040) were associated with a faster rate of RNFL decline. None of the baseline OCT angiography parameters evaluated in this study showed any association with the RNFL slope.

conclusionsPresence of pseudoexfoliation and optic disc hemorrhages are significant risk factors for glaucoma progression in open-angle glaucoma. Baseline superficial vessel density, as measured on OCT angiography, was not associated with the rate of RNFL loss in mild-moderate open-angle glaucoma.

Indexed as

Glaucoma, Open-AngleNerve FibersRetinal Ganglion CellsTomography, Optical CoherenceAgedDisease ProgressionFemaleHumansIntraocular PressureMaleMiddle AgedOptic DiskProspective StudiesVisual Fields

Identifiers

PMID40131916
PMCPMC11936279

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