Evidence map›Paper›PMID 35301260›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2022

Dynamics of Retinal Vessel Loss After Acute Optic Neuritis in Patients With Relapsing Multiple Sclerosis.

Lilian Aly, Christina Noll, Rebecca Wicklein, Elisabeth Wolf, Eva Feodora Romahn, Josphine Wauschkuhn, Sami Hosari, Christian Mardin, Achim Berthele, Bernhard Hemmer and 2 more

Open access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 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
3.8field-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, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. MOGJournal of neuroinflammation · 2025
    Review
  6. Review
  7. Ten Years ofNeurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  8. Article
  9. Retinal small vessel pathology is associated with disease burden in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Review
  15. Observational
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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

12 authors at 1 institution in 1 country.

Lilian AlyFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.ORCID 0000-0002-7051-124X
Christina NollFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Rebecca WickleinFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Elisabeth WolfFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Eva Feodora RomahnFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Josphine WauschkuhnFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Sami HosariFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Christian MardinFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.
Achim BertheleFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.ORCID 0000-0001-9650-6222
Bernhard HemmerFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.ORCID 0000-0001-5985-6784
Thomas KornFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.ORCID 0000-0002-3633-0955
Benjamin KnierFrom the Department of Neurology (L.A., C.N., R.W., E.W., E.F.R., J.W., A.B., B.H., T.K., B.K.), Klinikum rechts der Isar, Institute for Experimental Neuroimmunology (L.A., T.K., B.K.), Technical University of Munich; Department of Ophthalmology (S.H., C.M.), University Hospital of Erlangen-Nuremberg; and Munich Cluster for Systems Neurology (SyNergy) (B.H., T.K.), Germany.ORCID 0000-0003-4187-9472
Munich Cluster for Systems Neurology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesRarefication of the retinal vasculature as measured by optical coherence tomography angiography (OCT-A) is a novel finding in patients with multiple sclerosis (MS). This study aimed to analyze longitudinal dynamics of the retinal vasculature following an acute inflammatory relapse including acute optic neuritis (ON) and to search for associations with alterations of the retinal architecture and visual function.

methodsThis prospective longitudinal cohort study included patients with relapsing-remitting MS or clinically isolated syndrome having an acute ON (n = 20) or a non-ON relapse (n = 33). Patients underwent examinations at baseline and after 7, 14, 28, 90, and 180 days with OCT, OCT-A, and assessment of the high- (HCVA) and low-contrast visual acuity (LCVA).

resultsRetinal vessel loss of the superficial vascular complex (SVC) evolves early after ON and reaches a plateau between 90 and 180 days (relative vessel loss 15% ± 8% [mean ± SD]). In addition, an 18% ± 18% intraindividual increase of the foveal avascular zone (FAZ) is evident within 180 days after acute ON. Both SVC thinning and FAZ enlargement were associated with worse HCVA and LCVA. Rarefication of the SVC evolved simultaneously to thinning of the common ganglion cell and inner plexiform layer (GCIP) after ON. No alterations of the deep vascular complex were seen in eyes with ON, and no alterations of the retinal vasculature were recognized in patients having acute non-ON relapses. DISCUSSION: Rarefication of the SVC and growing of the FAZ evolve rapidly after ON and are linked to persistent visual disability. ON-related SVC thinning might be closely linked to GCIP atrophy and might occur due to an altered local metabolic activity within inner retinal layers.

Indexed as

Multiple SclerosisOptic NeuritisHumansLongitudinal StudiesProspective StudiesRecurrenceRetinal VesselsTomography, Optical CoherenceVision Disorders

Identifiers

PMID35301260
PMCPMC8931743
OpenAlexW4220712477

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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.