Evidence map›Paper›PMID 21845028›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2011

Predictive value of visual evoked potentials, relative afferent pupillary defect, and orbital fractures in patients with traumatic optic neuropathy.

Seyed Ali Tabatabaei, Mohammad Soleimani, Mahdi Alizadeh, Morteza Movasat, Mohammad Reza Mansoori, Zakieh Alami, Alireza Foroutan, Mahmood Joshaghani, Saeid Safari, Arzhang Goldiz

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Traumatic Optic Neuropathy.Journal of neurological surgery. Part B, Skull base · 2021
    Article
  10. Isolated-check visual evoked potential: a more sensitive tool to detect traumatic optic neuropathy after orbital fracture.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Surgical Treatment for Traumatic Optic Neuropathy.Korean journal of neurotrauma · 2018
    Review
  16. Article
  17. Article
  18. Traumatic optic neuropathy: a review.Craniomaxillofacial trauma & reconstruction · 2015
    Review
  19. Review
  20. Neuro-ophthalmic deficits after head trauma.Current neurology and neuroscience reports · 2013
    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

10 authors at 3 institutions in 1 country.

Seyed Ali TabatabaeiFarabi Eye Research Centre, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran;
Mohammad Soleimani
Mahdi Alizadeh
Morteza Movasat
Mohammad Reza Mansoori
Zakieh Alami
Alireza Foroutan
Mahmood Joshaghani
Saeid Safari
Arzhang Goldiz
Farabi Hospital · IRRasool Akram Hospital · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine the predictive value of flash visual-evoked potentials (VEP), relative afferent pupillary defect, and presence of orbital fractures in patients with traumatic optic neuropathy.

methodsA prospective study was conducted in 15 patients with indirect traumatic optic neuropathy. All patients underwent a thorough ophthalmic examination. Initial visual acuity, final visual acuity, and relative afferent pupillary defect were determined, and visual acuity was converted into logMAR units. We performed flash VEP and an orbital computed tomography scan in all patients.

resultsThere was a good correlation between relative afferent pupillary defect and final visual acuity (r = -0.83), and better initial visual acuity could predict better final visual acuity (r = 0.92). According to findings from flash VEP parameters, there was a relationship between final visual acuity and amplitude ratio of the wave (r = 0.59) and latency ratio of the wave (r = -0.61). Neither primary visual acuity nor final visual acuity was related to the presence of orbital fractures in the orbital CT scan.

conclusionPatients with traumatic optic neuropathy often present with severe vision loss. Flash VEP, poor initial visual acuity, and higher grade of relative afferent pupillary defect could predict final visual acuity in these patients. Presence of orbital fracture was not a predictive factor for primary visual acuity or final visual acuity.

Indexed as

CT scanflash VEPorbital fractureRAPDvisual acuity

Identifiers

PMID21845028
PMCPMC3151564
OpenAlexW1566058204

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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 OpenQuestion graph.