Evidence map›Paper›PMID 40260743›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2025

Diagnostic accuracy of inter-eye difference of ganglion cell layer alone in identifying optic neuritis in multiple sclerosis.

Nik Krajnc, Fabian Föttinger, Markus Ponleitner, Barbara Kornek, Fritz Leutmezer, Stefan Macher, Paulus Rommer, Christiane Schmied, Karin Zebenholzer, Gudrun Zulehner and 4 more

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

14 authors.

Nik KrajncDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-4146-5870
Fabian FöttingerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Markus PonleitnerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Barbara KornekDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1851-6967
Fritz LeutmezerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Stefan MacherDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Paulus RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5209-6647
Christiane SchmiedDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Karin ZebenholzerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Gudrun ZulehnerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Tobias ZrzavyDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8909-1591
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5626-1144
Berthold PempDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0569-0229
Gabriel BstehDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0825-0851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2024 McDonald criteria for diagnosing multiple sclerosis (MS) include optic nerve involvement as a fifth region for establishing dissemination in space. Optic neuritis (ON) can be detected through optical coherence tomography (OCT) using an inter-eye absolute or percentage difference (IEAD, IEPD) in ganglion cell-inner plexiform layer (GCIPL) thickness.

objectiveTo compare the diagnostic accuracy of GCIPL IEAD/IEPD with GCL and IPL IEAD/IEPD alone for identifying a history of ON.

methodsThis cross-sectional retrospective study included people with MS (pwMS) who underwent an OCT scan. Diagnostic accuracy was assessed using ROC analysis.

resultsA total of 241 pwMS (mean age 34.7 years [SD 9.7], 70.1% female) were included. Sixty-eight (28.2%) patients had a documented history of unilateral ON. GCL IEAD (AUC 0.79, cut-off ⩾ 0.06 mm

conclusionGCL IEAD and IEPD provide strong diagnostic accuracy for identifying unilateral ON and can be effectively used as an alternative to GCIPL IEAD/IEPD to facilitate implementation in clinical routine.

Indexed as

Multiple SclerosisOptic NeuritisRetinal Ganglion CellsTomography, Optical CoherenceAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesSensitivity and Specificityganglion cell-inner plexiform layerganglion cell layerGCIPLGCLinter-eye differenceMultiple sclerosisoptic neuritis

Identifiers

PMID40260743
PMCPMC12357966

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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.