Evidence map›Paper›PMID 40447249›Full record

ArticleAmerican journal of ophthalmology2025

Longitudinal Changes in Optoretinography Provide an Early and Sensitive Biomarker of Outer Retinal Disease.

Teng Liu, Benjamin J Wendel, Jennifer Huey, Vimal Prabhu Pandiyan, Debarshi Mustafi, Jennifer R Chao, Ramkumar Sabesan

Abstract read
In one paragraph

Article in American journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. ƒ(Cell): Software for Reproducible Analysis of Optoretinograms.Translational vision science & technology · 2026
    Article
  8. Review
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Teng LiuDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA; Department of Bioengineering (T.L., R.S.), University of Washington, Seattle, Washington, USA.
Benjamin J WendelDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA.
Jennifer HueyDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA.
Vimal Prabhu PandiyanDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA.
Debarshi MustafiDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA; Seattle Children's Hospital (D.M.), Seattle, WA, 98105.
Jennifer R ChaoDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA.
Ramkumar SabesanDepartment of Ophthalmology (T.L., B.W., J.H., V.P.P., D.M., J.R.C., R.S.), University of Washington, Seattle, Washington, USA; Department of Bioengineering (T.L., R.S.), University of Washington, Seattle, Washington, USA. Electronic address: rsabesan@uw.edu.

Funding

Vision Research CoreP30EY001730 · NEI · UNIVERSITY OF WASHINGTON · PI Jay Neitz · 1985 to 2026
$23.5M
Optoretinography: All-optical measures of functional activity in the human retinaU01EY032055 · NEI · UNIVERSITY OF WASHINGTON · PI PALANKER, DANIEL V, ROORDA, AUSTIN · 2021 to 2025
$5.2M
Photoreceptor mosaic in health and diseaseR01EY029710 · NEI · UNIVERSITY OF WASHINGTON · PI Ramkumar Sabesan · 2019 to 2026
$2.9M
NEI NIH HHS P30 EY001730NEI NIH HHS R01 EY029710NEI NIH HHS U01 EY032055
6 · The paper itself

Abstract

objectiveTo examine whether optoretinography (ORG) can provide greater sensitivity for assessing the time-course of disease progression in Retinitis Pigmentosa (RP) compared to standard clinical imaging in a longitudinal study.

designCohort study.

participantsFive non-syndromic RP patients and 8 control subjects participated in the study.

methodsClinical examination, imaging sessions and data analysis were all conducted at the University of Washington. Five eyes of 5 patients diagnosed with RP, comparing standard clinical imaging to ORG, were collected over a 21-month span between August 2022 and May 2024. MAIN OUTCOME AND MEASURES: ORG response to visual stimuli, ellipsoid zone (EZ) width and outer segment length (OS length) were evaluated for longitudinal changes as markers of disease progression.

resultsThe reduction in cone function with ORG over time exceeds that observed in standard clinical markers of photoreceptor structure - EZ width and OS length. EZ width and OSL decreased by 4.5% ± 5.9% and 6.5% ± 1.4%, respectively, approximately 9.9 and 6.9 times less than the reduction noted in ORG, respectively. The most notable degradation was noted at the borders of the transition zone, where ORG showed progressive and sub-clinical losses in photoreceptor function whereas standard OCT showed currently intact outer retinal structure.

conclusionsOptoretinography detects sub-clinical disease and reliably identifies longitudinal markers of progression with greater sensitivity compared to standard clinical imaging. The ability to detect functional changes in the outer retina prior to standard clinical measures underscores its potential as a sensitive, accelerated and clinically-relevant outcome measure to guide patient selection and their therapeutic response in future clinical trials.

Indexed as

Retinal Cone Photoreceptor CellsRetinal Photoreceptor Cell Outer SegmentRetinitis PigmentosaAdultBiomarkersDisease ProgressionElectroretinographyFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedTomography, Optical CoherenceVisual AcuityBiomarkers

Identifiers

PMID40447249
PMCPMC12229095

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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.