Evidence map›Paper›PMID 30541489›Full record

ReviewBMC ophthalmology2018

Simultaneous bilateral posterior ischemic optic neuropathy secondary to giant cell arteritis: a case presentation and review of the literature.

Anas Mohammad Albarrak, Yousef Mohammad, Sajjad Hussain, Sufia Husain, Taim Muayqil

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC ophthalmology, 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
0.9field-weighted citation impact, top 22% 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. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Role of temporal artery resection in Horton's arteritis (Review).Experimental and therapeutic medicine · 2021
    Review
  9. Giant cell arteritis: Its ophthalmic manifestations.Indian journal of ophthalmology · 2021
    Review
  10. Article
  11. 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

5 authors at 3 institutions in 1 country.

Anas Mohammad AlbarrakDepartment of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia. Dr.albarrak@gmail.com.ORCID http://orcid.org/0000-0002-8870-3274
Yousef MohammadDepartment of Internal Medicine, Neurology division, King Khalid University Hospital, Riyadh, Saudi Arabia.
Sajjad HussainDepartment of Medical Imaging, King Saud University / King Khalid University Hospital, Riyadh, Saudi Arabia.
Sufia HusainDepartment of Pathology and Laboratory Medicine, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Taim MuayqilNeurology division, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
King Saud University · SAKing Khalid University Hospital · SAPrince Sattam Bin Abdulaziz University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis report highlights a rare case of simultaneous bilateral blindness due to posterior ischemic optic neuropathy. Typically, ophthalmic involvement in giant cell arteritis is monocular or sequential ischemia of the anterior portion of the optic nerve, and less frequently simultaneous. CASE PRESENTATION: An 80-year-old Saudi male came with a history of simultaneous bilateral vision loss 5 days prior to presentation. The exam showed dilated non-reactive pupils, no light perception in both eyes, and normal fundus exam. C-reactive protein and erythrocyte sedimentation rate levels were high Magnetic resonance imaging and magnetic resonance angiography of the brain showed a right posterior optic nerve lesion and absence of flow in both ophthalmic arteries respectively. A left temporal artery biopsy confirmed giant cell arteritis.

conclusionThe presentation of GCA can be atypical and patients may present with simultaneous blindness. Bilateral simultaneous PION does not exclusively occur in a post surgical setting, emphasizing the importance of decreasing the threshold of suspicion of similar cases to avoid further neurological complications.

Indexed as

Aged, 80 and overBlindnessGiant Cell ArteritisHumansMaleOptic Neuropathy, IschemicBlindnessGiant cell arteritisHeadacheNeuro-ophthalmologyPosterior ischemic optic neuropathy

Identifiers

PMID30541489
PMCPMC6292061
OpenAlexW2904054547

What OpenQuestion holds

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LicenceCC BY
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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.