Evidence map›Paper›PMID 29940901›Full record

Observational studyBMC ophthalmology2018

Antarctica eye study: a prospective study of the effects of overwintering on ocular parameters and visual function.

Matthew H Stahl, Alexander Kumar, Robert Lambert, Michael Stroud, David Macleod, Andrew Bastawrous, Tunde Peto, Matthew J Burton

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 7 institutions in 2 countries.

Matthew H StahlUniversity College London, London, UK. matthew.stahl.11@ucl.ac.uk.ORCID http://orcid.org/0000-0002-7022-8946
Alexander KumarKing's College London, London, UK.
Robert LambertDepartment of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland.
Michael StroudUniversity of Southampton Medical School, Southampton, UK.
David MacleodClinical Research Department, International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
Andrew BastawrousClinical Research Department, International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
Tunde PetoMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Matthew J BurtonClinical Research Department, International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBEdinburgh Royal Infirmary · GBMoorfields Eye Hospital NHS Foundation Trust · GBQueen's University Belfast · GBUniversity of Fribourg · CHUniversity of Southampton · GBWexham Park Hospital · GB

Funding

Medical Research Council G1001934Medical Research Council MR/K012126/1Wellcome TrustWellcome Trust 098481/Z/12/Z
6 · The paper itself

Abstract

backgroundIn 2013 five polar explorers attempted to complete the first Trans-Antarctic Winter Traverse (TAWT). This study presents the ophthalmological findings for this group, who overwintered in Antarctica as part of the White Mars Human Science Protocol. Antarctic crews are exposed to extreme cold, chronic hypoxia and altered day-night cycles. Previous studies of Antarctic explorers have focused on the prolonged effect of ultraviolet radiation including the development of ultraviolet keratitis and accelerated cataract formation. This is the first study of its kind to investigate the effect of overwintering in Antarctica on the human eye.

methodsPre and post-expedition clinical observations were made including visual acuity, contrast sensitivity, colour vision, auto-refraction, subjective refraction, retinal examination, retinal autofluoresence and retinal thickness, which were graded for comparison. During the expedition additional observations were made on a monthly basis including LogMAR visual acuity, autorefraction and intraocular pressure.

resultsNo significant differences between pre and post-expedition observations were found, including visual acuity, contrast sensitivity, colour vision, refraction, visual fields, intraocular pressure and retinal examination. There was a small but statistically significant decrease in retinal thickness across all regions of the retina, except for the macular and fovea, in all explorers. Intra-expedition observations remained within normal limits.

conclusionReassuringly, the human eye remains largely unchanged by exposure to the extreme conditions encountered during the Antarctic winter, however, further research is needed to investigate changes in retinal thickness. This may have implications for scientists who spend prolonged periods of time in the polar regions, as well as those who have prolonged exposure to the extreme cold or chronic hypoxia in other settings.

Indexed as

AdultAntarctic RegionsContrast SensitivityEnvironmental ExposureEye DiseasesFemaleFollow-Up StudiesFovea CentralisHumansIncidenceIntraocular PressureMaleMiddle AgedProspective StudiesSeasonsTomography, Optical CoherenceAltitudeAntarcticaEyeWhite Mars

Identifiers

PMID29940901
PMCPMC6019514
OpenAlexW2809825183

What OpenQuestion holds

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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.