Evidence map›Paper›PMID 28926646›Full record

ArticlePloS one2017

Vascular hypoperfusion in acute optic neuritis is a potentially new neurovascular model for demyelinating diseases.

Ta-Ching Chen, Chao-Yuan Yeh, Chao-Wen Lin, Chung-May Yang, Chang-Hao Yang, I-Hung Lin, Pao-Yang Chen, Jung-Yu Cheng, Fung-Rong Hu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. The effect of optic neuritis attacks on choroidal vascularity index in patients with multiple sclerosis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Oxidative Stress in Optic Neuropathies.Antioxidants (Basel, Switzerland) · 2021
    Review
  9. Article
  10. Article
  11. 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

9 authors at 4 institutions in 2 countries.

Ta-Ching ChenDepartment of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chao-Yuan YehDepartment of Pathology, University of Southern California, Los Angeles, California, United States of America.
Chao-Wen LinDepartment of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chung-May YangDepartment of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chang-Hao YangDepartment of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan.
I-Hung LinSchool of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Pao-Yang ChenInstitute of Plant and Microbial Biology, Academia Sinica, Taipei, Taiwan.
Jung-Yu ChengDepartment of Healthcare Information and Management, Ming Chuan University, Taoyuan, Taiwan.
Fung-Rong HuDepartment of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-2102-5317
National Taiwan University · TWInstitute of Plant and Microbial Biology, Academia Sinica · TWMing Chuan University · TWUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOptic neuritis is highly correlated with multiple sclerosis and is a major cause of acute visual loss and long-term neuronal degeneration. Primary cerebral hypoperfusion has been reported in brain demyelinating diseases. This study investigated whether peripapillary perfusion is changed in patients with acute optic neuritis (AON).

methodsThis three-year cohort study was conducted from September 1 2012, to August 31, 2015. Two hundred and forty-one patients with non-glaucomatous acute optic neuropathy were screened, and 42 non-highly myopic patients who had suffered their first episode of unilaterally idiopathic AON were studied. All cases received spectral-domain optical coherence tomography (OCT) examination, general survey, and standard corticosteroid therapy. OCT images were analyzed using a customized MATLAB program for measuring peripapillary choroidal thickness (PCT). Multivariate regression models were constructed to identify factors that are significantly related to peripapillary perfusion.

resultsDecreased PCT was found in eyes experiencing AON combined with disc swelling (the ratio of lesion eye PCT/fellow eye PCT was 0.87 ± 0.08; range, from 0.75 to 1.00). In comparison to the healthy fellow eyes, approximately every 26% increase in the thickness of the retinal nerve fiber layer due to axonal swelling was associated with a 10% decreased thickness of PCT. Thinner PCT is also correlated with poorer trough vision, which may lead to poorer final vision. These findings were obvious in patients with optic papillitis but not in patients with retrobulbar neuritis.

conclusionsPeripapillary vascular hypoperfusion was found in patients experiencing AON combined with disc swelling. These findings are unlike those for other ocular inflammatory diseases but are consistent with cerebral hypoperfusion, which is found in brain demyelinating diseases; thus, these findings may represent a new neurovascular model in this field.

Indexed as

Models, BiologicalAcute DiseaseAdrenal Cortex HormonesAdultChoroidCohort StudiesDemyelinating DiseasesFemaleHumansMaleMiddle AgedOptic NeuritisPapilledemaRegression AnalysisRetinaTomography, Optical CoherenceAdrenal Cortex Hormones

Identifiers

PMID28926646
PMCPMC5605049
OpenAlexW2754879191

What Socratic holds

Textmetadata
LicenceCC BY
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.