Evidence map›Paper›PMID 40926946›Full record

ReviewCureus2025

Semaglutide and Non-arteritic Anterior Ischemic Optic Neuropathy: A Systematic Review.

Roberto A Hidalgo Ramos, Marcelo Ortiz, Sebastián Dufner Krieger, Daniela Secades

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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

4 authors.

Roberto A Hidalgo RamosFaculty of Medicine, University of Costa Rica, San Jose, CRI.
Marcelo OrtizFaculty of Medicine, University of Costa Rica, San Jose, CRI.
Sebastián Dufner KriegerFaculty of Medicine, University of Costa Rica, San Jose, CRI.
Daniela SecadesFaculty of Medicine, University of Costa Rica, San Jose, CRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review examines the potential association between semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, and the development of non-arteritic anterior ischemic optic neuropathy (NAION). Nine studies were included, consisting of retrospective cohort analyses, case series, and pharmacovigilance reports. Findings across the literature were inconsistent, with some studies reporting an increased risk while others found no significant association. Variations in study design, diagnostic criteria, and population characteristics limited comparability and prevented meta-analysis. Overall, the absolute risk appears to be low, and the therapeutic benefits of semaglutide in managing type 2 diabetes and obesity are likely to outweigh potential ocular concerns for most patients. Clinicians should exercise caution in individuals with predisposing ocular risk factors, such as small Bruch's membrane opening (BMO), optic disc drusen (ODD), or otherwise crowded optic nerve heads. Further prospective studies with rigorous ophthalmologic evaluation are needed to clarify any causal relationship.

Indexed as

diabetesglp-1 receptor agonistnaionoptic neuropathysemaglutide

Identifiers

PMID40926946
PMCPMC12415119

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.