Evidence map›Paper›PMID 27355577›Full record

Trial reportPloS one2016

Alternating Current Stimulation for Vision Restoration after Optic Nerve Damage: A Randomized Clinical Trial.

Carolin Gall, Sein Schmidt, Michael P Schittkowski, Andrea Antal, Géza Gergely Ambrus, Walter Paulus, Moritz Dannhauer, Romualda Michalik, Alf Mante, Michal Bola and 4 more

2 registry-linked trialsOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT01280877 nacompletednot on this map

Multicenter Study of Paraorbital-Occipital Alternating Current Stimulation Therapy in Patients With Optic Neuropathy

TypeinterventionalSponsorUniversity of MagdeburgRan2010 to 2012Enrolled90ConditionsOptic Nerve Diseases, Optic Nerve Injuries, Optic NeuropathiesArmstACS, Sham stimulation
NCT04010994 phase1 / phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Treatment of Patients With Optic Nerve Damage Patients Using Electrostimulation: a Home Stimulation Study

TypeinterventionalSponsorUniversity of MagdeburgRan2019 to 2020Enrolled50ConditionsGlaucoma, Electrical Stimulation, Home TreatmentArmsTransorbital electrical stimulation
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Non-invasive brain stimulation for treating visual defects: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  8. [Transcorneal electrical stimulation in primary open angle glaucoma].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2017
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13 more citing papers are in PubMed but not listed here.

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

14 authors at 4 institutions in 2 countries.

Carolin GallInstitute of Medical Psychology, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Sein SchmidtDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Michael P SchittkowskiDepartment of Ophthalmology, University Medical Center, Georg-August University of Goettingen, Goettingen, Germany.
Andrea AntalDepartment of Clinical Neurophysiology, University Medical Center, Georg-August University, Goettingen, Germany.
Géza Gergely AmbrusDepartment of Clinical Neurophysiology, University Medical Center, Georg-August University, Goettingen, Germany.
Walter PaulusDepartment of Clinical Neurophysiology, University Medical Center, Georg-August University, Goettingen, Germany.
Moritz DannhauerCenter for Integrative Biomedical Computing and the Scientific Computing and Imaging Institute, University of Utah, Salt Lake City, Utah, United States of America.
Romualda MichalikInstitute of Medical Psychology, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Alf ManteDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Michal BolaInstitute of Medical Psychology, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Anke LuxInstitute for Biometry and Medical Informatics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Siegfried KropfInstitute for Biometry and Medical Informatics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Stephan A BrandtDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Bernhard A SabelInstitute of Medical Psychology, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Otto-von-Guericke University Magdeburg · DEUniversity of Göttingen · DECharité - Universitätsmedizin Berlin · DEUniversity of Utah · US

Funding

TRD - VisualizationP41GM103545 · NIGMS · UNIVERSITY OF UTAH · PI JURRUS, ELIZABETH · 2012 to 2019
$9.7M
NIGMS NIH HHS P41 GM103545
6 · The paper itself

Abstract

backgroundVision loss after optic neuropathy is considered irreversible. Here, repetitive transorbital alternating current stimulation (rtACS) was applied in partially blind patients with the goal of activating their residual vision.

methodsWe conducted a multicenter, prospective, randomized, double-blind, sham-controlled trial in an ambulatory setting with daily application of rtACS (n = 45) or sham-stimulation (n = 37) for 50 min for a duration of 10 week days. A volunteer sample of patients with optic nerve damage (mean age 59.1 yrs) was recruited. The primary outcome measure for efficacy was super-threshold visual fields with 48 hrs after the last treatment day and at 2-months follow-up. Secondary outcome measures were near-threshold visual fields, reaction time, visual acuity, and resting-state EEGs to assess changes in brain physiology.

resultsThe rtACS-treated group had a mean improvement in visual field of 24.0% which was significantly greater than after sham-stimulation (2.5%). This improvement persisted for at least 2 months in terms of both within- and between-group comparisons. Secondary analyses revealed improvements of near-threshold visual fields in the central 5° and increased thresholds in static perimetry after rtACS and improved reaction times, but visual acuity did not change compared to shams. Visual field improvement induced by rtACS was associated with EEG power-spectra and coherence alterations in visual cortical networks which are interpreted as signs of neuromodulation. Current flow simulation indicates current in the frontal cortex, eye, and optic nerve and in the subcortical but not in the cortical regions.

conclusionrtACS treatment is a safe and effective means to partially restore vision after optic nerve damage probably by modulating brain plasticity. This class 1 evidence suggests that visual fields can be improved in a clinically meaningful way.

trial registrationClinicalTrials.gov NCT01280877.

Indexed as

AdultAgedDouble-Blind MethodElectricityElectric Stimulation TherapyElectroencephalographyFemaleFollow-Up StudiesHumansMaleMiddle AgedOptic NerveOptic Nerve DiseasesOptic Nerve InjuriesProspective StudiesQuality of Life

Identifiers

PMID27355577
PMCPMC4927182
OpenAlexW2468983090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.