Evidence map›Paper›PMID 30060907›Full record

ReviewJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2018

Is Management of Central Retinal Artery Occlusion the Next Frontier in Cerebrovascular Diseases?

Kaustubh Limaye, Michael Wall, Sami Uwaydat, Sheharayar Ali, Amir Shaban, Sami Al Kasab, Harold Adams

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Thrombolysis for Central Retinal Artery Occlusion in 2020: Time Is Vision!Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2020
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Retinal and optic nerve magnetic resonance diffusion-weighted imaging in acute non-arteritic central retinal artery occlusion.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Eye Opener in Stroke.Stroke · 2019
    Article
  10. Is Management of Central Retinal Artery Occlusion the Next Frontier in Cerebrovascular Diseases?Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019
    Article
  11. Intra-Arterial Thrombolysis for Central Retinal Artery Occlusion.Clinical ophthalmology (Auckland, N.Z.) · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kaustubh LimayeUniversity of Iowa, Iowa City, Iowa.
Michael WallUniversity of Iowa, Iowa City, Iowa.
Sami UwaydatUniversity of Arkansas for Medical Sciences, Jones Eye Institute, Little Rock, Arkansas.
Sheharayar AliUniversity of Iowa, Iowa City, Iowa.
Amir ShabanUniversity of Iowa, Iowa City, Iowa.
Sami Al KasabUniversity of Iowa, Iowa City, Iowa.
Harold AdamsUniversity of Iowa, Iowa City, Iowa. Electronic address: harold-adams@uiowa.edu.
University of Iowa · USUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central retinal artery occlusion (CRAO) is a medical emergency that, if not treated, may result in irreversible loss of vision. It continues to be an important cause for acute painless loss of vision. Amaurosis fugax or "transient CRAO" has long been considered an equivalent of transient cerebral ischemic event. Animal models, in addition to data from retrospective and randomized clinical studies, provide valuable insights into the time interval for irreversible retinal ischemia. Subset analyses from 2 large studies of patients with CRAO show benefit from treatment with thrombolysis within 6 hours from symptoms onset. Significant workflow improvements after the intra-arterial therapy trials for acute ischemic stroke have occurred world over in last 5 years. Patients with CRAO are uniquely suited to receive maximum benefits from the changes in workflow for treatment of patient's acute ischemic stroke. Just as in clinical triage of acute ischemic stroke, correct and timely diagnosis of patients with CRAO may help in preventing visual loss. The approach to acute ocular ischemia should mimic that used for acute brain ischemia. Comprehensive stroke centers would be ideal triage centers for these patients in view of availability of multidisciplinary participation from vascular neurology, neuroendovascular surgery, and ophthalmology. Time is Retina!

Indexed as

Vascular Surgical ProceduresVision, OcularAmaurosis FugaxAnimalsClinical Decision-MakingComorbidityConservative TreatmentFibrinolytic AgentsHumansRetinal Artery OcclusionRisk FactorsThrombolytic TherapyTime-to-TreatmentTreatment OutcomeFibrinolytic Agentscentral retinal artery occlusionHyperacute strokeintra-arterial therapyintravenousthrombolysis

Identifiers

PMID30060907
OpenAlexW2884817654

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.