Evidence map›Paper›PMID 30202579›Full record

ReviewConcussion (London, England)2017

Understanding the effects of mild traumatic brain injury on the pupillary light reflex.

Kenneth J Ciuffreda, Nabin R Joshi, James Q Truong

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Concussion (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540445 (Utility of Pupillary Metrics in Diagnosis and Management of Concussion in Children), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT04540445 unknown statusnot on this mapstarted 2020, after this paper: background citation

Utility of Pupillary Metrics in Diagnosis and Management of Concussion in Children

TypeobservationalSponsorChildren's Hospital of Orange CountyRan2020 to 2022Enrolled130ConditionsBrain Concussion, Reflex, Pupillary, Post-Concussion Syndrome, Brain Injuries, TraumaticArmsPupillary Assessment
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Evaluation of autonomic involvement in Parkinson's disease using pupillometry.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Association of mild traumatic brain injury, post-traumatic stress disorder, and other comorbidities on photosensitivity.Optometry and vision science : official publication of the American Academy of Optometry · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

3 authors at 1 institution in 1 country.

Kenneth J CiuffredaBrain Injury Research Clinic, SUNY/State College of Optometry, 33 West 42nd Street, New York City, NY 10036, USA.
Nabin R JoshiBrain Injury Research Clinic, SUNY/State College of Optometry, 33 West 42nd Street, New York City, NY 10036, USA.
James Q TruongBrain Injury Research Clinic, SUNY/State College of Optometry, 33 West 42nd Street, New York City, NY 10036, USA.
SUNY College of Optometry · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pupillary light reflex represents an optimal visual system to investigate and exploit in the mild traumatic brain injury (mTBI) population. Static and dynamic aspects of the pupillary light reflex were investigated objectively and quantitatively in the mTBI population. Pupillary responsivity was found to be significantly delayed, slowed and reduced, but symmetrical in nature, and with a smaller baseline diameter, as compared with normals. Several pupillary parameters also discriminated between those with versus without photosensitivity. Thus, dynamic pupillometry provides several objective biomarkers for the presence of mTBI and photosensitivity, gives insight into the global sites of neurological dysfunction and possible related mechanisms, and should result in improved patient care.

Indexed as

mild traumatic brain injurymTBIphotosensitivityPLRpupillary light reflex

Identifiers

PMID30202579
PMCPMC6094691
OpenAlexW2743701313

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.