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Record W4411578664 · doi:10.1016/j.jcjo.2025.05.025

Changes in retinal flow density during and after pregnancy—an optical coherence tomography angiography study

2025· article· en· W4411578664 on OpenAlexvenueno aff
Jens Julian Storp, Kathrin Oelmeier, Ralf Schmitz, Moritz Fabian Danzer, Julian Alexander Zimmermann, Verena Anna Englmaier, Nicole Eter, Viktoria Constanze Brücher

Bibliographic record

VenueCanadian Journal of Ophthalmology · 2025
Typearticle
Languageen
FieldMedicine
TopicPregnancy and preeclampsia studies
Canadian institutionsnot available
Fundersnot available
KeywordsPregnancyRetinalMedicinePlexusChildbirthOptical coherence tomographyObstetricsOptical coherence tomography angiographyBlood flowOphthalmologyPostpartum periodAnatomyRadiologyBiology

Abstract

fetched live from OpenAlex

OBJECTIVE: Employing optical coherence tomography angiography (OCTA), recent research has uncovered retinal vascular changes in pregnant women compared to nonpregnant controls. Yet, longitudinal data on retinal OCTA metrics until childbirth are lacking in the current literature, and an understanding of a possible reversibility of these changes remains limited. This prospective study aims to quantify retinal capillary metrics in healthy pregnant women prenatally and postnatally, describing the natural evolution of OCTA metrics during and after pregnancy. METHODS: OCTA measurements were performed repeatedly on 52 eyes of 26 healthy, pregnant women, assessing the superficial (SCP), deep (DCP), choriocapillary (CC), and radial peripapillary (RPC) capillary plexus at various intervals during pregnancy and after childbirth. Flow density (FD) within these layers and parameters of the foveal avascular zone (FAZ) were compared throughout pregnancy and in the postpartum period using linear mixed models. RESULTS: 52 eyes of 26 pregnant women were included in the study. Although layer-specific variations in FD throughout the prepartum phase were noted, these changes were statistically insignificant for all investigated capillary plexus and the FAZ (p > 0.05). FD of the DCP, CC and RPC capillary plexus was significantly lower after childbirth in comparison to the prepartum phase (p ≤ 0.04). CONCLUSIONS: The microvascular structure remains stable throughout healthy pregnancies; however, postpartum changes hint toward late vasculo-structural adaptations after childbirth. OCTA can be used to noninvasively to assess microvascular changes associated with pregnancy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.017
Threshold uncertainty score0.034

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.002
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.271
Teacher spread0.254 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractno

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