Evidence map›Paper›PMID 40874698›Full record

ArticleInvestigative ophthalmology & visual science2025

Retinal Vessel Changes in Geographic Atrophy in AMD: Insights From Imaging and Histology.

Chiara Olivieri, Antonio Fai, Imran A Bhutto, D Scott McLeod, Giovanni Neri, Michele Reibaldi, Malia M Edwards, Enrico Borrelli

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Chiara OlivieriDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Antonio FaiDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Imran A BhuttoOphthalmology, Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
D Scott McLeodOphthalmology, Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Giovanni NeriDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Michele ReibaldiDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Malia M EdwardsOphthalmology, Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Enrico BorrelliDepartment of Surgical Sciences, University of Turin, Turin, Italy.

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Ji Yi · 1985 to 2026
$22.1M
Muller cell activation and remodeling in AMD.R01EY031044 · NEI · JOHNS HOPKINS UNIVERSITY · PI EDWARDS, MALIA MICHELLE · 2021 to 2025
$2.0M
NEI NIH HHS P30 EY001765NEI NIH HHS R01 EY031044
6 · The paper itself

Abstract

Purpose: The purpose of this study was to investigate retinal vascular changes in geographic atrophy (GA) secondary to age-related macular degeneration (AMD) using swept-source optical coherence tomography angiography (SS-OCTA), and to correlate imaging findings with histology. Methods: Sixty subjects were enrolled: 20 with GA, 20 with intermediate AMD, and 20 healthy controls. SS-OCTA imaging was used to quantify retinal perfusion density (PD) and vessel length density (VLD) in the superficial capillary plexus (SCP), deep capillary plexus (DCP), and full retina. A topographical analysis distinguished regions with and without retinal pigment epithelium (RPE) atrophy in GA eyes. Additionally, flat-mount immunohistochemistry was performed on a donor eye with GA to assess retinal vasculature. Main outcome measures included PD and VLD across SCP, DCP, and full retina, in regions with and without RPE atrophy. Results: Retinal PD and VLD were significantly reduced in GA eyes compared with intermediate AMD eyes, particularly in the DCP. Topographical analysis revealed more pronounced vascular impairment in areas with RPE atrophy, whereas regions without RPE atrophy in GA eyes exhibited perfusion comparable to intermediate AMD and healthy controls. Histological analysis confirmed a substantial reduction in vascular density within atrophic regions. Conclusions: Retinal vascular changes in GA predominantly occur within regions of RPE atrophy. The preservation of perfusion in regions without RPE atrophy suggests that vascular impairment is localized. These findings underscore the importance of regional analysis and histopathologic correlation in understanding vascular remodeling in GA. Future longitudinal OCTA studies are warranted to clarify the temporal progression of these vascular alterations in relation to RPE atrophy.

Indexed as

Geographic AtrophyMacular DegenerationRetinal Pigment EpitheliumRetinal VesselsAgedAged, 80 and overFemaleFluorescein AngiographyFundus OculiHumansMaleMiddle AgedTomography, Optical Coherence

Identifiers

PMID40874698
PMCPMC12400968

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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.