Evidence map›Paper›PMID 34743490›Full record

SynthesisKorean journal of ophthalmology : KJO2022

The Effects of Hyperbaric Oxygen Therapy in Patients with Central Retinal Artery Occlusion: A Retrospective Study, Systematic Review, and Meta-analysis.

Luca Rosignoli, Edward R Chu, John E Carter, Daniel A Johnson, Jeong-Hyeon Sohn, Sepehr Bahadorani

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Korean journal of ophthalmology : KJO, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Interventions for acute non-arteritic central retinal artery occlusion.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Antithrombotic use in retinal artery occlusion: A narrative review.The Kaohsiung journal of medical sciences · 2025
    Review
  6. Article
  7. Retinal Artery Occlusion: A Review of Current Management Practices.Journal of ophthalmic & vision research · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. 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

6 authors at 1 institution in 1 country.

Luca RosignoliDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
Edward R ChuDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
John E CarterDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
Daniel A JohnsonDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
Jeong-Hyeon SohnDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
Sepehr BahadoraniDepartment of Ophthalmology, University of Texas Health, San Antonio, TX, USA.
The University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCentral retinal artery occlusion (CRAO) is a vision-threatening condition with a potentially poor visual prognosis. Many different treatment modalities are suggested but controversy remains regarding effectiveness of these treatments. The purpose of this study is to perform a systematic review and meta-analysis in addition to analyzing retrospective data at our own tertiary care center regarding effectiveness of hyperbaric oxygen therapy (HBOT) in treatment of CRAO.

methodsThe PubMed, Scopus, and the Cochrane Library are searched from the date of database inception to September 2021 to conduct a review based on the PRISMA (preferred reporting items for systematic review and meta-analysis), evaluating the role of HBOT in visual recovery of CRAO patients. In addition, a retrospective chart review of patients clinically diagnosed with CRAO at our university-based hospital (University of Texas Health, San Antonio, TX, USA) from year 2011 to 2021 was conducted.

resultsAfter a review of 376 articles, three articles met the inclusion criteria for meta-analysis, where a total of 207 patients received HBOT versus 89 patients that did not receive any form of oxygen therapy. Analysis of these results demonstrate that HBOT in CRAO patients does not enhance the final visual outcome (p = 0.83). Similar conclusion was also drawn from retrospective analysis of 48 patients (15 HBOT versus 33 controls) at our tertiary care center, where no visual benefit was observed in the HBOT group.

conclusionsHBOT does not appear to improve final visual outcome and concerns remain regarding adverse reactions such as barotrauma and generalized seizures. Large, randomized studies are required for further understanding of the role of HBOT in treatment of CRAO.

Indexed as

Hyperbaric OxygenationRetinal Artery OcclusionHumansRetrospective StudiesVision DisordersHyperbaric oxygenationMeta-analysisRetinal artery occlusion

Identifiers

PMID34743490
PMCPMC9013555
OpenAlexW3213524097

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.