Evidence map›Paper›PMID 41561831›Full record

Observational studyJournal of diabetes research2026

Association of Serum Vitamin D With Macular Microvascular Structure in Type 2 Diabetic Mellitus Without Diabetic Retinopathy: A Cross-Sectional Study.

Hui Yang, Xinyan Ma, Youjin Pan, Suilian Zheng, Haihua Zheng, Zheren Xia

Abstract readObservational Study
In one paragraph

Observational study in Journal of diabetes research, 2026. 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. Review
  2. Observational
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

6 authors.

Hui YangDepartment of Ophthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0001-9583-9076
Xinyan MaDepartment of Ophthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0005-1004-5629
Youjin PanDepartment of Endocrinology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0003-3012-6846
Suilian ZhengDepartment of Ophthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0002-7070-6688
Haihua ZhengDepartment of Ophthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0002-8212-4981
Zheren XiaDepartment of Ophthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0001-7573-8462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study investigated the association of different serum vitamin D levels on macular microvascular structure in Type 2 diabetes mellitus (T2DM) patients without diabetic retinopathy (DR), utilizing optical coherence tomography angiography (OCTA). Methods: A cross-sectional observational study was designed that includes 83 patients (83 eyes) with T2DM but without DR. Three groups were defined based on vitamin D levels, including vitamin D deficiency (serum vitamin D < 20 ng/mL), vitamin D insufficiency (20 ng/mL ≤ serum vitamin D < 30 ng/mL), and normal vitamin D (≥ 30 ng/mL) groups. All patients underwent OCTA with a 6 × 6-mm scan centered on the fovea. Assessment was conducted on the perfusion density (PD) of the retinal full layer (FL) and the superficial capillary plexus (SCP). In addition, evaluation of the foveal avascular zone (FAZ) included its area, perimeter, and acircularity index (AI). Results: The PD of the SCP was significantly lower in the vitamin D deficiency group, especially in the temporal regions (42.04 ± 3.8 vs. 44.94 ± 4.5 vs. 47.24 ± 3.9, Conclusions: Changes in PD were found to be particularly sensitive to changes in the temporal-perifoveal region in individuals with vitamin D deficiency. Thus, vitamin D deficiency may be associated with DR.

Indexed as

Diabetes Mellitus, Type 2Macula LuteaMicrovesselsRetinal VesselsVitamin DVitamin D DeficiencyAgedCross-Sectional StudiesDiabetic RetinopathyFemaleFluorescein AngiographyHumansMaleMiddle AgedTomography, Optical CoherenceVitamin Doptical coherence tomography angiographyperfusion densityretinal microvasculatureType 2 diabetesvitamin D

Identifiers

PMID41561831
PMCPMC12812850

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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.