Evidence map›Paper›PMID 36653599›Full record

ReviewDocumenta ophthalmologica. Advances in ophthalmology2023

Electrophysiological assessment of nutritional optic neuropathy: a case report.

Emily K O'Neill, Kshitij Mankad, Richard Bowman, Dorothy A Thompson

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Documenta ophthalmologica. Advances in ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Severe visual impairment as a complication of autism spectrum disorder.Documenta ophthalmologica. Advances in ophthalmology · 2026
    Article
  2. Article
  3. Maculopapillary Bundle Degeneration in Optic Neuropathies.Current neurology and neuroscience reports · 2024
    Review
  4. Article
  5. 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

4 authors at 2 institutions in 1 country.

Emily K O'NeillClinical and Academic Department of Ophthalmology, Visual Electrophysiology Unit, Great Ormond Street Hospital for Children, NHS Trust, 40-41 Queen Square, London, WC1N 3AJ, UK. Emily.O'Neill@gosh.nhs.uk.ORCID 0000-0003-1584-4161
Kshitij MankadDepartment of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.ORCID 0000-0001-5979-9337
Richard BowmanClinical and Academic Department of Ophthalmology, Visual Electrophysiology Unit, Great Ormond Street Hospital for Children, NHS Trust, 40-41 Queen Square, London, WC1N 3AJ, UK.ORCID 0000-0001-5422-4104
Dorothy A ThompsonClinical and Academic Department of Ophthalmology, Visual Electrophysiology Unit, Great Ormond Street Hospital for Children, NHS Trust, 40-41 Queen Square, London, WC1N 3AJ, UK.ORCID 0000-0001-5491-3911
Great Ormond Street Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report an unexpectedly asymmetric, progressive nutritional optic neuropathy associated with vitamin A deficient optic canal hyperostosis in a 15-year-old female with a long history of a restricted diet.

methodsWe performed comprehensive ophthalmic assessments in a fifteen-year-old female with a long history of restricted eating who presented with suspected nutritional optic neuropathy, predominantly affecting the right eye vision.

resultsA review of computerised tomography and magnetic resonance imaging revealed bilateral optic canal hyperostosis likely associated with vitamin A deficiency. Electrodiagnostic tests and optical coherence tomography provided structure-function evidence of bilateral retinal ganglion cell dysfunction and notably revealed severe loss of temporal fibres in the left eye which showed cecocentral scotoma but normal visual acuity. Although selective damage of the papillomacular bundle has been well-documented in nutritional and toxic optic neuropathies, compressive optic canal hyperostosis secondary to nutritional deficiency has been rarely reported.

conclusionsNutritional deficiencies are increasing in high-income countries and may be linked to the rise of gastrointestinal disorders, strict vegan and vegetarian diets and avoidant restrictive food intake disorder (ARFID) associated with conditions such as depression and autism spectrum syndrome (ASD). Our findings highlight the value of electrodiagnostic testing alongside imaging in complex nutritional optic neuropathies to help monitor, guide treatment and preserve remaining sight in a child.

Indexed as

Optic Nerve DiseasesOptic NeuritisAdolescentChildElectroretinographyFemaleHumansRetinal Ganglion CellsElectroretinogramNutritional optic neuropathyOptic canal hyperostosisVisual evoked potentialVitamin A deficiency

Identifiers

PMID36653599
PMCPMC10082095
OpenAlexW4317373931

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.