Evidence map›Paper›PMID 40408095›Full record

ArticleInvestigative ophthalmology & visual science2025

Elevated Visual Crowding in CRB1-Associated Retinopathies: Understanding Functional Visual Deficits Using Child-Friendly Computerized Testing.

Ana Catalina Rodriguez-Martinez, Vijay K Tailor-Hamblin, Bethany E Higgins, Pete R Jones, Tessa M Dekker, Robert H Henderson, John A Greenwood, Mariya Moosajee

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. 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

8 authors.

Ana Catalina Rodriguez-MartinezMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.
Vijay K Tailor-HamblinMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.
Bethany E HigginsMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.
Pete R JonesMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.
Tessa M DekkerInstitute of Ophthalmology, University College London, London, England, United Kingdom.
Robert H HendersonMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.
John A GreenwoodExperimental Psychology, University College London, United Kingdom.
Mariya MoosajeeMoorfields Eye Hospital NHS Foundation Trust, London, England, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Mutations affecting the CRB1 gene produce retinal dystrophies including early onset severe retinal dystrophy/Leber congenital amaurosis (EOSRD/LCA), retinitis pigmentosa (RP), cone-rod dystrophy (CORD), and macular dystrophy (MD). As treatment strategies advance toward clinical translation, there is a need to establish reliable outcome metrics and to better understand the visual deficits associated with CRB1 retinopathies. To this end, we measured visual acuity (VA) and crowding (the disruptive effect of clutter on object recognition), both key functions in spatial vision, using child-friendly computer-based tests, and gold-standard clinical measures. Methods: Patients with molecularly confirmed biallelic CRB1 pathogenic variants were compared with age-matched controls (n = 20 in each). Best-corrected visual acuity (BCVA) was measured with both Early Treatment Diabetic Retinopathy Study (ETDRS) and the computerized VacMan procedures (using an unflanked/isolated VacMan target), which also allowed measurement of crowding when surrounding flanker elements were added. Results: Both acuity and crowding were significantly elevated in individuals with CRB1 retinopathy compared with controls. ETDRS acuity correlated with both the unflanked (r = 0.868, P < 0.001) and flanked VacMan thresholds (r = 0.748, P < 0.001). No statistically significant changes in crowding were observed with respect to CRB1 phenotype (EOSRD/LCA, CORD, or MD) or age of onset. Conclusions: This study demonstrates for the first time that individuals with CRB1 retinopathy exhibit elevated crowding in their foveal vision compared with controls. Measuring crowding offers valuable insights into understanding functional visual deficits in CRB1 retinopathy and could be a useful metric for monitoring disease progression and treatment outcomes in inherited retinal diseases.

Indexed as

Eye ProteinsMembrane ProteinsMutationNerve Tissue ProteinsRetinal DystrophiesVision DisordersVisual AcuityAdolescentAdultChildChild, PreschoolDiagnosis, Computer-AssistedFemaleHumansMaleMiddle AgedCRB1 protein, humanEye ProteinsMembrane ProteinsNerve Tissue Proteins

Identifiers

PMID40408095
PMCPMC12118514

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.