Evidence map›Paper›PMID 26720776›Full record

ReviewCurrent opinion in ophthalmology2016

Vascular and autonomic dysregulation in primary open-angle glaucoma.

Louis R Pasquale

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current opinion in ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03761992 (Measurement of the Effect of Gingko Biloba Extract on Ocular and Nailfold Blood-flow in Normaltension Glaucoma by Ocular Coherence Tomography Angiography and Nailfold Capillaroscopy), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% of its field
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.

NCT03761992 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Measurement of the Effect of Gingko Biloba Extract on Ocular and Nailfold Blood-flow in Normaltension Glaucoma by Ocular Coherence Tomography Angiography and Nailfold Capillaroscopy

TypeinterventionalSponsorRobert Ritch, MD, LLC.Ran2018 to 2020Enrolled40ConditionsNormal Tension GlaucomaArmsGingko Baloba, Placebo
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Association of FunctionalInternational journal of molecular sciences · 2026
    Article
  4. Review
  5. Article
  6. Article
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  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Glaucoma and Systemic Disease.Life (Basel, Switzerland) · 2023
    Review
  18. Article
  19. Article
  20. Review
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

1 author at 1 institution in 1 country.

Louis R PasqualeaMass Eye and Ear Infirmary bDivision of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Massachusetts Eye and Ear Infirmary · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, TAMIMI, RULLA M · 2000 to 2019
$77.8M
Validity of Diet and Activity Measures in WomenP01CA055075 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FUCHS, CHARLES S · 1991 to 2009
$41.8M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
A Center for GEI Association StudiesU01HG004424 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI GABRIEL, STACEY · 2007 to 2010
$21.4M
Structural dynamics of developing auditory circuitsP20RR015574 · NCRR · WEST VIRGINIA UNIVERSITY · PI SPIROU, GEORGE A · 2000 to 2009
$18.1M
Novel Glaucoma Diagnostics for Structure and Function - Renewal - 1R01EY013178 · NEI · WILLS EYE HEALTH SYSTEM · PI Joel S Schuman · 2000 to 2026
$17.5M
SNP discoveryP01HL073042 · NHLBI · DUKE UNIVERSITY · PI KRAUS, WILLIAM E · 2002 to 2006
$13.5M
Unifying Genetics Epidemiology of Macular DegenerationR01EY012118 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI AGARWAL, ANITA, HAINES, JONATHAN L · 2006 to 2015
$12.2M
Cancer Epidemiology Cohort in Male Health ProfessionalsUM1CA167552 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2012 to 2016
$11.5M
BIOCHEMICAL MARKERS IN THE NURSES'HEALTH STUDY COHORTR01CA049449 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI HANKINSON, SUSAN E · 1989 to 2008
$11.3M
Diagnostic Innovations in Glaucoma:Structural AssessmentR01EY011008 · NEI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZANGWILL, LINDA M · 1995 to 2015
$8.7M
NCI NIH HHS CA055075NCI NIH HHS CA49449NCI NIH HHS CA87969NCI NIH HHS P01 CA055075NCI NIH HHS P01 CA087969NCI NIH HHS R01 CA049449NCI NIH HHS U01 CA049449NCI NIH HHS UM1 CA 167552NCI NIH HHS UM1 CA167552NCI NIH HHS UM1 CA186107NCRR NIH HHS 1S10RR022586NCRR NIH HHS P20 RR015574NCRR NIH HHS RR015574NCRR NIH HHS S10 RR022586NCRR NIH HHS UL1 RR 025758NCRR NIH HHS UL1 RR025758NEI NIH HHS 3R01EY015872-05S1NEI NIH HHS 3R01EY019126-02S1NEI NIH HHS EY006827NEI NIH HHS EY008208NEI NIH HHS EY009149NEI NIH HHS EY009847NEI NIH HHS EY010886NEI NIH HHS EY011008NEI NIH HHS EY011671NEI NIH HHS EY012118NEI NIH HHS EY013178NEI NIH HHS EY015473NEI NIH HHS EY015543NEI NIH HHS EY015682NEI NIH HHS EY015872NEI NIH HHS EY09580NEI NIH HHS EY09611NEI NIH HHS EY13315NEI NIH HHS EY144428NEI NIH HHS EY144448NEI NIH HHS EY18660NEI NIH HHS R01 EY008208NEI NIH HHS R01 EY009580NEI NIH HHS R01 EY009611NEI NIH HHS R01 EY009847NEI NIH HHS R01 EY010886NEI NIH HHS R01 EY011008NEI NIH HHS R01 EY011671NEI NIH HHS R01 EY012118NEI NIH HHS R01 EY013178NEI NIH HHS R01 EY013315NEI NIH HHS R01 EY015473NEI NIH HHS R01 EY015543NEI NIH HHS R01 EY015872NEI NIH HHS R01 EY018660NEI NIH HHS R01 EY019126NEI NIH HHS R01 EY022305NEI NIH HHS R01EY022305NEI NIH HHS R01 EY022746NEI NIH HHS R01 EY022746-01NEI NIH HHS R03 EY015682NEI NIH HHS R21 EY020987NEI NIH HHS R56 EY011671NEI NIH HHS U10 EY012118NHGRI NIH HHS HG004608NHGRI NIH HHS HG 004728NHGRI NIH HHS HG004728NHGRI NIH HHS HG005259-01NHGRI NIH HHS HHSN268200782096CNHGRI NIH HHS U01 HG004424NHGRI NIH HHS U01-HG004424NHGRI NIH HHS U01 HG004446NHGRI NIH HHS U01 HG004608NHGRI NIH HHS U01 HG004728NHLBI NIH HHS HL073389NHLBI NIH HHS HL73042NHLBI NIH HHS P01 HL073042NHLBI NIH HHS R01 HL073389PHS HHS 11FTF7290032
6 · The paper itself

Abstract

purpose of reviewThe purpose of this review is to discuss whether vascular dysfunction and autonomic dysfunction are related to primary open-angle glaucoma stratified by the intraocular pressure (IOP) level. RECENT

findingsPatients with primary open angle glaucoma (POAG) across the spectrum of IOP exhibit a variety of ocular and nonocular vascular abnormalities. Interestingly, common genetic variation in nitric oxide synthase 3 (NOS3) and the caveolin 1/caveolin 2 (CAV1/CAV2) genomic regions, which code for proteins involved in setting vascular tone, are associated with POAG. These markers seem to stratify with POAG subtypes stratified by sex or pattern of initial visual field loss and not by IOP level. Overall, it is clear that there is also cardiovascular autonomic dysfunction in high-tension glaucoma and normal-tension glaucoma but it is unclear if this dysfunction is more common in normal-tension glaucoma compared with high-tension glaucoma. SUMMARY: Overall, POAG is likely a heterogeneous disease but stratifying cases by IOP level associated with initial optic nerve damage may be less useful than using other endophenotype approaches. Embracing the evidence suggesting systemic endothelial and autonomic dysfunction are operative in POAG will help us move beyond an IOP-centric view of the disease and facilitate 'tearing down the wall' that divides treating physicians and a better understanding of POAG pathogenesis.

Indexed as

Glaucoma, Open-AngleCaveolin 1Caveolin 2HumansIntraocular PressureNitric Oxide Synthase Type IIITonometry, OcularCAV2 protein, humanCaveolin 1Caveolin 2Nitric Oxide Synthase Type IIINOS3 protein, human

Identifiers

PMID26720776
PMCPMC4740225
OpenAlexW2204521358

What Socratic holds

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Registered trials

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 Socratic graph.