Evidence map›Paper›PMID 30460468›Full record

ArticleCEN case reports2019

Sequential nonarteritic anterior ischemic optic neuropathy in patient on chronic hemodialysis.

Ari Shemesh, Edward Margolin

Abstract readCase Reports
In one paragraph

Article in CEN case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Ari ShemeshUniversity of Toronto, Department of Ophthalmology and Vision Sciences, 801 Eglinton Ave West Suite 301, Toronto, ON, M5N 1E3, Canada.
Edward MargolinUniversity of Toronto, Department of Ophthalmology and Vision Sciences, 801 Eglinton Ave West Suite 301, Toronto, ON, M5N 1E3, Canada. edmargolin@gmail.com.ORCID 0000-0002-6738-7225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonarteritic anterior ischemic optic neuropathy (NAION) is a well acknowledged rare complication of chronic hemodialysis in patients with end-stage renal disease (ESRD). We present a unique case of a patient on chronic hemodialysis who presented with an NAION in the right eye, then 3 months later developed an NAION in the left eye followed in 1 month by second NAION episode in the left eye. Every episode of NAION was accompanied by intradialytic hypotension (drop in systolic blood pressure of over 20 mmHg) where visual loss was noticed at the end of the dialysis session. Clinicians should be aware of association between NAION and hemodialysis and that patients with dialysis-induced hypotension are at particularly increased risk of having NAION. Patients who had dialysis-associated NAION should be closely monitored to prevent occurrence of intra-dialytic hypotension as they are at the highest risk of sequential NAION and thus severe visual loss.

Indexed as

AdultHumansHypotensionKidney Failure, ChronicMaleOptic Nerve DiseasesOptic Neuropathy, IschemicRenal DialysisVision DisordersBlindness after dialysisDialysis-induced hypotensionNonarteritic anterior ischemic optic neuropathy

Identifiers

PMID30460468
PMCPMC6450974

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.