Evidence mapPaperPMID 38514853Full record

ArticleEye (London, England)2024

Retinal vasculature of different diameters and plexuses exhibit distinct vulnerability in varying severity of diabetic retinopathy.

Alaa E Fayed, Martin J Menten, Linus Kreitner, Johannes C Paetzold, Daniel Rueckert, Sherry M Bassily, Ramy R Fikry, Ahmed M Hagag, Sobha Sivaprasad

Open access · greenAbstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

9 authors at 3 institutions in 4 countries.

Alaa E FayedDepartment of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Giza, Egypt. alaa.fayed@kasralainy.edu.eg.ORCID http://orcid.org/0000-0003-2634-3880
Martin J MentenLab for AI in Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Linus KreitnerLab for AI in Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Johannes C PaetzoldLab for AI in Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Daniel RueckertLab for AI in Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-5683-5889
Sherry M BassilyWatany Eye Hospital, Cairo, Egypt.
Ramy R FikryDepartment of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Giza, Egypt.
Ahmed M HagagNIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-3372-7885
Sobha SivaprasadNIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
TUM Klinikum · DECairo University · EGMoorfields Eye Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the changes in vessel densities (VD) stratified by vessel diameter in the retinal superficial and deep vascular complexes (SVC/DVC) using optical coherence tomography angiography (OCTA) images obtained from people with diabetes and age-matched healthy controls.

methodsWe quantified the VD based on vessel diameter categorized as <10, 10-20 and >20 μm in the SVC/DVC obtained on 3 × 3 mm

resultsOCTA images obtained from 854 eyes of 854 subjects were divided into 5 groups: healthy controls (n = 555); people with diabetes with no diabetic retinopathy (DR, n = 90), mild and moderate non-proliferative DR (NPDR) (n = 96), severe NPDR (n = 42) and proliferative DR (PDR) (n = 71). Both SVC and DVC showed significant decrease in VD with increasing DR severity (p < 0.001). The largest difference was observed in the <10 μm vessels of the SVC between healthy controls and no DR (13.9% lower in no DR, p < 0.001). Progressive decrease in <10 μm vessels of the SVC and DVC was seen with increasing DR severity (p < 0.001). However, 10-20 μm vessels only showed decline in the DVC, but not the SVC (p < 0.001) and there was no change observed in the >20 μm vessels in either plexus.

conclusionsOur findings suggest that OCTA is able to demonstrate a distinct vulnerability of the smallest retinal vessels in both plexuses that worsens with increasing severity of DR.

Indexed as

Diabetic RetinopathyFluorescein AngiographyRetinal VesselsSeverity of Illness IndexTomography, Optical CoherenceAdultAgedFemaleFundus OculiHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID38514853
PMCPMC11156674
OpenAlexW4393031632

What Socratic holds

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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 Socratic graph.