Evidence map›Paper›PMID 41773771›Full record

ArticleInvestigative ophthalmology & visual science2026

Longitudinal Changes of Fundus Autofluorescence and Correlation With Visual Acuity in ABCA4-Associated Stargardt Disease.

Folahan Ibukun, Rupert W Strauss, Zainab Rustam, Muhammad Jehanzeb Khan, Artur V Cideciyan, David G Birch, Alexander Ho, Janet S Sunness, Isabelle S Audo, Michel Michaelides and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Folahan IbukunWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States.
Rupert W StraussMoorfields Eye Hospital and UCL Institute of Ophthalmology, London, United Kingdom.
Zainab RustamWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States.
Muhammad Jehanzeb KhanWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States.
Artur V CideciyanScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
David G BirchRetina Foundation of the Southwest, Dallas, Texas, United States.
Alexander HoDoheny Image Reading Center, Doheny Eye Institute, Pasadena, California, United States.
Janet S SunnessHoover Low Vision Rehabilitation Services, Greater Baltimore Medical Center, Baltimore, Maryland, United States.
Isabelle S AudoSorbonne Université, INSERM, CNRS, Institut de la Vision; CHNO des Quinze-Vingts, Centre de Référence Maladies Rares REFERET and INSERM-DGOS CIC1423, Paris, France.
Michel MichaelidesMoorfields Eye Hospital and UCL Institute of Ophthalmology, London, United Kingdom.
Eberhart ZrennerCenter for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Germany.
Elias I TraboulsiCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Paul BernsteinMoran Eye Center, University of Utah, Salt Lake City, UT, United States.
SriniVas SaddaDoheny Image Reading Center, Doheny Eye Institute, Pasadena, California, United States.
Michael S IpDoheny Image Reading Center, Doheny Eye Institute, Pasadena, California, United States.
Sheila WestWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States.
Xiangrong KongWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States.

Funding

Structure-Function Relationships in Stargardt Disease.R21EY032955 · NEI · JOHNS HOPKINS UNIVERSITY · PI KONG, XIANGRONG · 2021 to 2022
$444k
NEI NIH HHS R21 EY032955
6 · The paper itself

Abstract

Purpose: To assess cross-sectional and longitudinal relationships between fundus autofluorescence (FAF) and visual acuity (VA) in ABCA4-associated Stargardt disease (STGD1). Methods: Secondary analysis used data from 301 STGD1 participants (566 study eyes) enrolled in the international ProgStar studies. The study reading center graded the FAF images qualitatively and quantitatively, including areas of atrophy reflected as definitely decreased autofluorescence (DDAF) and questionably decreased autofluorescence (QDAF). Linear models estimated cross-sectional and longitudinal associations between the growth of DDAF area and total DAF area (i.e., sum of DDAF and QDAF areas) and change in VA. Results: At the first visit, the median age was 30 years (range, 7-69); 55% were women. Mean ± SD VA was 0.73 ± 0.36 logMAR; mean total DAF area was 3.4 ± 3.8 mm2; and 42% of eyes had no DDAF. Cross-sectionally, increasing age and duration of symptoms, younger age of symptom onset, and larger QDAF area were significantly associated with worse VA (P < 0.05). Mean follow-up was 3.3 years (range, 0.5-10.3). There was no statistically significant relationship between growth of total DAF or DDAF areas and change in VA (P > 0.05). Conclusions: Characteristics other than DAF area (e.g., flecks presence) may influence VA. Some patients remained DDAF free longitudinally and thus would be excluded in STGD1 trials that use DDAF as the primary endpoint. The cross-sectional relationship between DAF and VA confirmed the association of VA with retinal pigment epithelium (RPE) structure. The lack of a significant association between growth in DAF areas with change in VA over follow-up points to challenges resulting from slow progression and large VA variability. Exploring outcome measures from other modalities is warranted for designing STGD1 trials.

Indexed as

ATP-Binding Cassette TransportersFluorescein AngiographyMacular DegenerationRetinal Pigment EpitheliumVisual AcuityAdolescentAdultAgedChildCross-Sectional StudiesFemaleFollow-Up StudiesFundus OculiHumansMaleMiddle AgedABCA4 protein, humanATP-Binding Cassette Transporters

Identifiers

PMID41773771
PMCPMC12967118

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.