Evidence map›Paper›PMID 40837068›Full record

ArticleOphthalmology science

Variation in Mesopic Retinal Sensitivity Relative to Distance from Geographic Atrophy in Age-Related Macular Degeneration.

Souvick Mukherjee, Emily Vance, Leon von der Emde, Thilaka Arunachalam, Tharindu De Silva, Alisa T Thavikulwat, Christine Orndahl, Caroline Nyaiburi, Maria Abraham, Keri Hammel and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02564978 (Evaluation of Oral Minocycline in the Treatment of Geographic Atrophy Associated With Age-Related Macular Degeneration), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02564978 phase2completednot on this map

Evaluation of Oral Minocycline in the Treatment of Geographic Atrophy Associated With Age-Related Macular Degeneration

TypeinterventionalSponsorNational Eye Institute (NEI)Ran2016 to 2023Enrolled37ConditionsAge-Related Macular DegenerationArmsMinocycline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Souvick MukherjeeNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Emily VanceNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Leon von der EmdeNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Thilaka ArunachalamNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Tharindu De SilvaNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Alisa T ThavikulwatNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Christine OrndahlThe Emmes Company, LLC, Rockville, Maryland.
Caroline NyaiburiThe Emmes Company, LLC, Rockville, Maryland.
Maria AbrahamThe Emmes Company, LLC, Rockville, Maryland.
Keri HammelThe Emmes Company, LLC, Rockville, Maryland.
SriniVas R SaddaDoheny Eye Institute, Pasadena, California.
Emily Y ChewNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Maximilian PfauDepartment of Ophthalmology, University Hospital Basel, Basel, Switzerland.
Wai T WongTiresias Biopharma Consulting LLC, Half Moon Bay, California.
Brett G JeffreyNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Tiarnán D L KeenanNational Eye Institute, National Institutes of Health, Bethesda, Maryland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To analyze the relationship between distance from geographic atrophy (GA) lesion borders and mesopic retinal sensitivity in age-related macular degeneration (AMD). Design: Exploratory analyses of the longitudinal microperimetry dataset from a recent phase II, prospective, single-arm, nonrandomized trial of oral minocycline for GA progression. Participants: Individuals with GA from AMD in ≥1 eye. Methods: Mesopic retinal sensitivity was assessed longitudinally with a fundus-guided microperimetry device at baseline, month 3, and every 6 months thereafter, using a custom T-shaped test pattern centered on the fovea. Individual test loci were superimposed on an aligned fundus autofluorescence image and distance from the closest GA lesion border (GA distance) was computed. The relationship between GA distance and retinal sensitivity was analyzed in study eyes using repeated-measures regression. Main Outcome Measures: Mesopic retinal sensitivity. Results: The study population comprised 26 study eyes from 26 participants (mean age 74.2 years). Retinal sensitivity of extralesional testing loci increased steeply, as a quadratic function, between 0° and 2.05° (i.e., knot at 2.05°; 95% confidence interval [CI] 1.26°-2.84°) of GA distance. Beyond 2.05°, it increased linearly and less steeply. In nonlinear analyses accounting for nesting, a significant effect of GA distance on retinal sensitivity was observed. For GA distances <2.05°, sensitivity increased quadratically by approximately 1.99 decibels (dB)/° (95% CI: 1.15, 2.83 dB/°; Conclusions: The results demonstrate a perilesional zone 2° (∼580 μm) around the GA border in which retinal sensitivity changes steeply according to GA distance. This zone presents an important focus for closer evaluation in interventional studies examining potential efficacy for the preservation or recovery of retinal function. With GA progression, decreased retinal sensitivity expands ahead of GA expansion itself, as an advancing wave. Overall, the degree and extent of decreased visual function beyond GA borders have important implications for the design of clinical trials, decision-making in clinical practice, and insights into AMD pathophysiology. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Geographic atrophyMesopic microperimetryOutcome measuresRetinal sensitivityTransitional zone

Identifiers

PMID40837068
PMCPMC12362116

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Registered trials

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.