Evidence map›Paper›PMID 41624378›Full record

Observational studyMediators of inflammation2026

Phenotypic Heterogeneity in Glaucoma: The Systemic and Vascular Landscape Behind Functional Loss.

José Enrique Muñoz de Escalona Rojas, José Luis García Serrano, Pablo Navarro Martínez

Abstract readObservational Study
In one paragraph

Observational study in Mediators of inflammation, 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. Article
  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

3 authors.

José Enrique Muñoz de Escalona RojasDepartment of Ophthalmology (Glaucoma Unit), Hospital Universitario Clínico San Cecilio, Granada, Andalusia, Spain, husc.es.ORCID https://orcid.org/0000-0003-4881-2940
José Luis García SerranoDepartment of Ophthalmology (Glaucoma Unit), Hospital Universitario Clínico San Cecilio, Granada, Andalusia, Spain, husc.es.
Pablo Navarro MartínezDepartment of Ophthalmology (Glaucoma Unit), Hospital Universitario del Vinalopó, Alicante, Elche, Valencian Community, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To analyze the direct and indirect associations between structural, functional, and systemic variables in patients with primary open-angle glaucoma (POAG), normal-tension glaucoma (NTG), and controls using structural equation modeling (SEM). Methods: A cross-sectional observational study was conducted including 156 participants: 55 with POAG, 49 with NTG, and 52 age- and sex-matched controls. Clinical variables included intraocular pressure (IOP), central corneal thickness (CCT), vertical cup-to-disc ratio (VCDR), and visual-field mean deviation (MD). Systemic variables comprised age and cardiovascular risk factors (hypertension, diabetes, and dyslipidemia). SEM was applied to assess direct and indirect effects on the diagnosis of glaucoma. Results: The model showed a good overall fit ( Conclusions: Our findings support the hypothesis of distinct glaucomatous phenotypes, including a vascular subtype with lower IOP and altered perfusion, potentially influenced by systemic comorbidities and chronic treatments. Reduced CCT was also confirmed as an independent marker of advanced functional loss. SEM helps disentangle complex mechanisms and may inform personalized therapeutic strategies, particularly in NTG.

Indexed as

GlaucomaGlaucoma, Open-AngleAgedCross-Sectional StudiesFemaleHumansIntraocular PressureLow Tension GlaucomaMaleMiddle AgedPhenotypeRisk Factorscentral corneal thicknessnormal-tension glaucomaprimary open-angle glaucomastructural equation modelingsystemic risk factors

Identifiers

PMID41624378
PMCPMC12857242

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.