Evidence map›Paper›PMID 41777269›Full record

ReviewCureus2026

Retinal and Choroidal Structural and Microvascular Characteristics in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Optical Coherence Tomography (OCT) and OCT Angiography (OCTA) Studies.

Abdullah Bousamri, Mohammad Al-Shehri, Mohammad Kana'an, Talal Almutairi, Faisal Alharbi, Ahmad Aburezq, Abdulaziz Bousamri

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

7 authors.

Abdullah BousamriOphthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.
Mohammad Al-ShehriOphthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.
Mohammad Kana'anOphthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.
Talal AlmutairiOphthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.
Faisal AlharbiGeneral Practice, Farwaniya Hospital, Kuwait City, KWT.
Ahmad AburezqOphthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.
Abdulaziz BousamriOphthalmology, Faculty of Medicine, Kuwait University, Kuwait City, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder that involves metabolic, hormonal, and inflammatory changes. These changes can affect tissues with high metabolic needs and sensitive microvascular systems. Optical coherence tomography (OCT) and OCT angiography (OCTA) are non-invasive ways to assess the structure and blood vessels of the retina and choroid. However, studies on women with PCOS have shown mixed results. This systematic review and meta-analysis set out to combine and analyze the available evidence on how PCOS affects retinal structure and microvasculature. We searched PubMed, Embase, Scopus, Web of Science, Cochrane CENTRAL, and Google Scholar from inception to February 1, 2026, for observational studies comparing OCT and OCTA results in women with PCOS and healthy controls. The main outcomes were average peripapillary retinal nerve fiber layer (RNFL) thickness, central macular thickness (CMT), subfoveal choroidal thickness (SFCT), and vessel density in the superficial and deep capillary plexus (SCP, DCP). We used the Newcastle-Ottawa Scale (NOS) to check study quality and the GRADE framework to rate the certainty of the evidence. We performed random-effects meta-analyses using mean differences (MDs) and 95% confidence intervals (CIs). We included 15 observational studies with a total of 1,370 women (737 with PCOS and 633 controls), and 13 studies were used in the quantitative analysis. Women with PCOS had a higher average RNFL thickness (MD +3.75 µm; 95% CI 2.48 to 5.01; moderate-certainty evidence) and a small but significant decrease in CMT (MD -3.29 µm; 95% CI -6.46 to -0.11; moderate certainty) compared to controls. SFCT was also higher overall (MD +58.03 µm), but there was a lot of variation between studies (

Indexed as

choroidoptical coherence tomographyoptical coherence tomography angiographypolycystic ovary syndromeretina

Identifiers

PMID41777269
PMCPMC12950350

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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.