Evidence map›Paper›PMID 41114836›Full record

SynthesisJournal of neurology2025

Risks of stroke and myocardial infarction after retinal artery occlusion and their time dependence: a systematic review and meta-analysis.

Chuansen Wang, Xueying Chen, Ying Li, Runlang Zhu, Jiaqing Feng, Duan Chen, Ting Chen, Xuan Xiao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Chuansen Wang *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Xueying Chen *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Ying LiDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Runlang ZhuDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Jiaqing FengDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Duan ChenDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China.
Ting Chen *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China. ct19870629@hotmail.com.
Xuan Xiao *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 238 Jie Fang Road, Wuhan, 430060, Hubei, China. xiaoxuan1111@whu.edu.cn.ORCID http://orcid.org/0000-0001-7762-8689

Funding

the Health Commission of Hubei Province Scientific Research Project HBJG-250010the National Key R&D Program of China 2023YFC2308404the Technology Innovation Team Project of Hubei Province 220171677
6 · The paper itself

Abstract

backgroundRetinal artery occlusion (RAO) is an ophthalmic emergency that may signal underlying cardiovascular disease. Both stroke and myocardial infarction (MI) share pathophysiological mechanisms and risk factors with RAO. This systematic review aimed to assess the risks of stroke and MI following the onset of RAO, with a focus on their time-dependent changes.

methodsPubMed, Embase, and Web of Science were searched for articles reporting  incidence of stroke and MI after RAO. Newcastle-Ottawa Scale was employed to evaluate the quality of study. Pooled relative risks for stroke and MI risks following RAO were calculated by random-effects models, and the time-dependent change of these risks was analyzed.

resultsTwelve studies involving 319 748 people were included. Pooled analysis showed that RAO was associated with a significantly increased risk of stroke (RR = 3.64, 95% CI: 2.53-5.25, p < 0.0001), particularly within the first month after RAO. MI risk showed an upward trend (RR = 1.38, 95% CI: 0.80-2.40, p = 0.2478), but did not reach statistical significance. Time-stratified analyses revealed the highest incidence of stroke and MI within 30 days post-RAO.

conclusionRAO is strongly associated with an elevated short-term risk of stroke, underscoring the need for prompt cerebrovascular evaluation and monitoring within the first month. Although the association between RAO and MI was less conclusive, cardiovascular assessment remains warranted. These findings highlight RAO as an important marker of systemic vascular disease requiring timely intervention.

Indexed as

Myocardial InfarctionRetinal Artery OcclusionStrokeHumansRisk FactorsTime FactorsEarly warningMyocardial infarctionRelative riskRetinal artery occlusionStroke

Identifiers

PMID41114836
PMCPMC12537614

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.