Evidence map›Paper›PMID 40515626›Full record

ArticleClinical & experimental ophthalmology

Retinal Vessel Traits and Age-Related Eye Disease in the Canadian Longitudinal Study on Aging.

Alexis O'Neil, Roshan A Welikala, Sarah Barman, Christopher G Owen, Alicja R Rudnicka, Mohan Rakesh, Marie-Hélène Roy-Gagnon, David Maberley, Ellen E Freeman

Abstract readMulticenter Study
In one paragraph

Article in Clinical & experimental ophthalmology. 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

9 authors.

Alexis O'NeilSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Roshan A WelikalaSchool of Computer Science and Mathematics, Kingston University London, London, UK.
Sarah BarmanSchool of Computer Science and Mathematics, Kingston University London, London, UK.
Christopher G OwenPopulation Health Research Institute, St George's School of Health and Medical Sciences, City St George's, University of London, London, UK.
Alicja R RudnickaPopulation Health Research Institute, St George's School of Health and Medical Sciences, City St George's, University of London, London, UK.
Mohan RakeshSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Marie-Hélène Roy-GagnonSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
David MaberleyDepartment of Ophthalmology, University of Ottawa, Ottawa, Canada.
Ellen E FreemanSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.ORCID 0000-0002-1403-8427

Funding

Canada Foundation for InnovationCIHR LSA 94473CIHR PJT-183690
6 · The paper itself

Abstract

backgroundTo cross-sectionally and longitudinally examine whether retinal vessel traits are associated with glaucoma-related outcomes (glaucoma, cup-to-disc ratio [CDR] and intraocular pressure [IOP]) and age-related macular degeneration (AMD).

methodsBaseline and 3-year follow-up data from the 30 097 participants of the Canadian Longitudinal Study on Aging were used. The follow-up rate was 92%. QUARTZ, a deep learning algorithm, was used to extract data from retinal images including arteriolar and venular diameter, tortuosity and vertical CDR. Glaucoma and AMD were self-reported. IOP was measured. Multiple linear and logistic regression were used to adjust for demographic, lifestyle and clinical factors.

resultsHaving wider arterioles was associated with a lower odds of glaucoma (OR = 0.36, 95% CI: 0.20, 0.65) at baseline but there was no association using longitudinal data. Instead, glaucoma at baseline was strongly associated with 3-year change in arteriolar diameter (β = -0.21, 95% CI: -0.37, -0.05) indicating that the cross-sectional association may have been due to reverse causality. Using longitudinal data, greater venular tortuosity was associated with a reduced 3-year development of glaucoma (OR = 0.52, 95% CI: 0.31, 0.87) and a 3-year reduction in the CDR (β = -0.006, 95% CI: -0.010, -0.002). Wider venular diameter was associated with a higher odds of AMD at baseline (OR = 2.77, 95% CI: 1.50, 5.15) and a higher odds of the 3-year development of AMD (OR = 4.15, 95% CI: 1.95, 8.82).

conclusionsUnderstanding the temporal relationship of changes in the retinal microvasculature and the development of eye disease may lead to better treatment and prevention strategies.

Indexed as

AgingGlaucomaMacular DegenerationRetinal VesselsAgedAged, 80 and overCanadaCross-Sectional StudiesFemaleFollow-Up StudiesHumansIntraocular PressureLongitudinal StudiesMaleMiddle AgedOptic Diskage‐related macular degenerationCLSAglaucomaretinal vasculatureretinal vessel

Identifiers

PMID40515626
PMCPMC12516671

What OpenQuestion holds

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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.