Evidence map›Paper›PMID 37788937›Full record

ArticleNeurology2023

Clinical Reasoning: A Woman With Progressive Painless Sequential Monocular Vision Loss.

Joseph Ditrapani, Hayley Price, Christine Shrock, Shuodan Zhang, Patricia E Greenstein, Marc Bouffard

Erratum issuedOpen access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Joseph DitrapaniFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA. jditrapa@bidmc.harvard.edu.
Hayley PriceFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA.
Christine ShrockFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA.ORCID 0000-0002-4493-0731
Shuodan ZhangFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA.
Patricia E GreensteinFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA.
Marc BouffardFrom the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA.
Boston Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 68-year-old woman with a history of diabetes mellitus type 2, depression, and migraines presented with painless, acute, consecutive vision loss affecting the right eye for 1 week and the left eye for 2 weeks. Neuro-ophthalmic examination was notable for visual acuities of finger-counting peripherally, a central scotoma, anterior uveitis, vitritis, and placoid macular pigmentary changes in each eye (OU). Proprioception was diminished in the bilateral lower extremities. Optical coherence tomography (OCT) revealed hyper-reflectivity and attenuation of the outer retina OU with normal inner retinal architecture and reflectivity. Fluorescein angiography (FA) demonstrated normal filling of the central retinal arteries with patchy choroidal perfusion in the right eye and targetoid punctate foci of leakage in the macula OU. Before the recognition of intraocular inflammation and findings on OCT and FA, the patient was treated for presumed central retinal artery occlusion at an outside hospital. Additional diagnostic testing at our institution revealed an alternate diagnosis. This case highlights a rare presentation of a well-known disease entity and underscores the importance of avoiding diagnostic anchoring in clinical practice.

Indexed as

Retinal Artery OcclusionVision, MonocularAcute DiseaseAgedBlindnessClinical ReasoningFemaleFluorescein AngiographyHumansRetinaTomography, Optical Coherence

Identifiers

PMID37788937
PMCPMC10663034
OpenAlexW4387312537

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.