Evidence map›Paper›PMID 40459525›Full record

ArticleTranslational vision science & technology2025

Interocular Asymmetry of OCT Retinal Nerve Fiber Layer Values in a Normative Population: The Framingham Heart Study.

Louay Almidani, Jasdeep Sabharwal, Anoush Shahidzadeh, Ana Collazo Martinez, Shu Jie Ting, Brinda Vaidya, Xuejuan Jiang, Tim Kowalczyk, Alexa Beiser, Lucia Sobrin and 3 more

Abstract read
In one paragraph

Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Louay AlmidaniWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jasdeep SabharwalWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Anoush ShahidzadehDepartment of Ophthalmology, Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Ana Collazo MartinezWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Shu Jie TingThe Framingham Heart Study, Framingham, MA, USA.
Brinda VaidyaThe Framingham Heart Study, Framingham, MA, USA.
Xuejuan JiangDepartment of Ophthalmology, Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Tim KowalczykDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Alexa BeiserDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Lucia SobrinDepartment of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.
Sudha SeshadriDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Pradeep RamuluWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Amir H KashaniWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
Multidimensional Assessment of Brain Health as A Marker of Dementia Risk and ResilienceR01AG066524 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI KASHANI, AMIR H, RAMACHANDRAN, VASAN S · 2020 to 2024
$9.7M
NHLBI NIH HHS 75N92019D00031NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG066524
6 · The paper itself

Abstract

Purpose: To explore interocular asymmetry in retinal nerve fiber layer (RNFL) thickness using optical coherence tomography (OCT), assess factors that predict this asymmetry, and quantify the 95% central range for OCT-defined average cup-disc ratio (CDR). Methods: Participants from the Framingham Heart Study were included. Interocular differences in OCT parameters were calculated by subtracting left eye values from the right eye. To quantify the range for interocular differences, the percentile distributions were described, with normal ranges established as 2.5th to 97.5th percentiles. Multivariable linear regression models were employed to explore predictors of interocular differences in RNFL thickness. Results: In total, 522 participants were studied with a mean (standard deviation [SD]) age of 74.5 (6.9) years, and most were female (59.4%) and white (88.3%). The mean (SD) peripapillary RNFL thickness was 88.1 (9.7) in the right eye and 87.7 (9.7) in the left eye, with a nonstatistically significant difference (mean [SD], 0.4 [6.1]; P = 0.18). The 2.5th and 97.5th percentiles for the interocular difference in average RNFL were -12.7 µm and 12.7 µm, while that of average CDR was -0.19 and 0.21, respectively. In multivariable models, only differences in rim area (β = 8.06/mm2; P < 0.001) and differences in signal strength (β = 1.37/unit; P < 0.001) were significantly and positively associated with interocular differences in average RNFL thickness. Conclusions: The 95% limits for average RNFL and CDR were within 12.7 microns and 0.2 units, respectively, between eyes. Translational Relevance: Comparing OCT RNFL of both eyes may aid in detecting early cases of unilateral/asymmetric glaucoma or other optic nerve-related pathology when used in conjunction with other clinically or biologically relevant findings.

Indexed as

GlaucomaNerve FibersOptic DiskRetinal Ganglion CellsTomography, Optical CoherenceAgedAged, 80 and overFemaleHumansMaleMiddle Aged

Identifiers

PMID40459525
PMCPMC12136102

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LicenceCC BY-NC-ND
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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.