Evidence mapPaperPMID 36973708Full record

SynthesisJournal of neuroinflammation2023

Optical coherence tomography angiography measurements in multiple sclerosis: a systematic review and meta-analysis.

Soheil Mohammadi, Mahdi Gouravani, Mohammad Amin Salehi, J Fernando Arevalo, Steven L Galetta, Hamid Harandi, Elliot M Frohman, Teresa C Frohman, Shiv Saidha, Neda Sattarnezhad and 1 more

Registry-linked trialOpen access · goldFull text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07175324 (Correlation Between Optical Coherence Tomography Angiography and Visual Field Changes in Patients With Multiple Sclerosis), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
12.5field-weighted citation impact, top 1% 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.

NCT07175324 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Correlation Between Optical Coherence Tomography Angiography and Visual Field Changes in Patients With Multiple Sclerosis

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled32ConditionsMultiple SclerosisArmsoptical coherence tomography angiography, Visual Field Perimetry
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Optical coherence tomography angiography in cerebral small vessel disease: a review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  5. Inner Plexiform Layer Microstructure Is Altered in Multiple Sclerosis.Investigative ophthalmology & visual science · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
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  20. 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

11 authors at 7 institutions in 3 countries.

Soheil Mohammadi *School of Medicine, Tehran University of Medical Sciences, Pour Sina St, Keshavarz Blvd, Tehran, 1417613151, Iran.
Mahdi Gouravani *School of Medicine, Tehran University of Medical Sciences, Pour Sina St, Keshavarz Blvd, Tehran, 1417613151, Iran.
Mohammad Amin Salehi *School of Medicine, Tehran University of Medical Sciences, Pour Sina St, Keshavarz Blvd, Tehran, 1417613151, Iran. mohamsa@gmail.com.
J Fernando ArevaloWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, USA.
Steven L GalettaDepartment of Neurology, New York University Langone Medical Center, New York, NY, USA.
Hamid HarandiSchool of Medicine, Tehran University of Medical Sciences, Pour Sina St, Keshavarz Blvd, Tehran, 1417613151, Iran.
Elliot M FrohmanLaboratory of Neuroimmunology, Stanford University School of Medicine, Stanford, CA, USA.
Teresa C FrohmanLaboratory of Neuroimmunology, Stanford University School of Medicine, Stanford, CA, USA.
Shiv SaidhaDivision of Neuroimmunology and Neurological Infections, Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Neda SattarnezhadDivision of Multiple Sclerosis and Neuroimmunology, Department of Neurology, Stanford Multiple Sclerosis Center, Stanford University, Stanford, USA.
Friedemann PaulDepartment of Neurology, Experimental and Clinical Research Center, Max Delbrueck Center for Molecular Medicine, NeuroCure Clinical Research Center, Charité Universitätsmedizin Berlin, Berlin, Germany.
Tehran University of Medical Sciences · IRStanford University · USCharité - Universitätsmedizin Berlin · DEJohns Hopkins Medicine · USJohns Hopkins University · USMultiple Sclerosis Center of Atlanta · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesRecent literature on multiple sclerosis (MS) demonstrates the growing implementation of optical coherence tomography-angiography (OCT-A) to discover potential qualitative and quantitative changes in the retina and optic nerve. In this review, we analyze OCT-A studies in patients with MS and examine its utility as a surrogate or precursor to changes in central nervous system tissue.

methodsPubMed and EMBASE were systematically searched to identify articles that applied OCT-A to evaluate the retinal microvasculature measurements in patients with MS. Quantitative data synthesis was performed on all measurements which were evaluated in at least two unique studies with the same OCT-A devices, software, and study population compared to controls. A fixed-effects or random-effects model was applied for the meta-analysis based on the heterogeneity level.

resultsThe study selection process yielded the inclusion of 18 studies with a total of 1552 evaluated eyes in 673 MS-associated optic neuritis (MSON) eyes, 741 MS without optic neuritis (MSNON eyes), and 138 eyes without specification for the presence of optic neuritis (ON) in addition to 1107 healthy control (HC) eyes. Results indicated that MS cases had significantly decreased whole image superficial capillary plexus (SCP) vessel density when compared to healthy control subjects in the analyses conducted on Optovue and Topcon studies (both P < 0.0001). Likewise, the whole image vessel densities of deep capillary plexus (DCP) and radial peripapillary capillary (RPC) were significantly lower in MS cases compared to HC (all P < 0.05). Regarding optic disc area quadrants, MSON eyes had significantly decreased mean RPC vessel density compared to MSNON eyes in all quadrants except for the inferior (all P < 0.05). Results of the analysis of studies that used prototype Axsun machine revealed that MSON and MSNON eyes both had significantly lower ONH flow index compared to HC (both P < 0.0001).

conclusionsThis systematic review and meta-analysis of the studies reporting OCT-A measurements of people with MS confirmed the tendency of MS eyes to exhibit reduced vessel density in the macular and optic disc areas, mainly in SCP, DCP, and RPC vessel densities.

Indexed as

Multiple SclerosisOptic NeuritisAngiographyFluorescein AngiographyHumansRetinaRetinal VesselsTomography, Optical CoherenceMeta-analysisMSMultiple sclerosisOCTOCT-AOptical coherence tomographyOptical coherence tomography angiographyPerfusion densityRetinaVascular density

Identifiers

PMID36973708
PMCPMC10041805
OpenAlexW4361305057

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read75
Read underepoch 390

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.