Evidence map›Paper›PMID 39971096›Full record

ReviewProgress in retinal and eye research2025

Spaceflight Associated Neuro-ocular Syndrome (SANS) and its countermeasures.

Tuan Nguyen, Joshua Ong, Tyson Brunstetter, C Robert Gibson, Brandon R Macias, Steven Laurie, Thomas Mader, Alan Hargens, Jay C Buckey, Mimi Lan and 10 more

Abstract readReview
In one paragraph

Review in Progress in retinal and eye research, 2025. 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
–field-weighted citation impact
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.

  1. Review
  2. Review
  3. Review
  4. Review
  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

20 authors.

Tuan NguyenWeill Cornell/Rockefeller/Sloan-Kettering Tri-Institutional MD-PhD Program, New York City, New York, USA.
Joshua OngDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Tyson BrunstetterNASA Johnson Space Center, Houston, Texas, USA.
C Robert GibsonKBR, NASA Space Medicine Operations Division, Houston, TX, USA; South Shore Eye Center, League City, TX, USA.
Brandon R MaciasKBR, NASA Space Medicine Operations Division, Houston, TX, USA.
Steven LaurieKBR, NASA Space Medicine Operations Division, Houston, TX, USA.
Thomas MaderNASA Ophthalmology Consultant, Moab, UT, USA.
Alan HargensDepartment of Orthopaedic Surgery, University of California, Altman Clinical and Translational Research Institute, La Jolla, CA, San Diego, USA.
Jay C BuckeySpace Medicine Innovations Laboratory, Geisel School of Medicine at Dartmouth, One Medical Center Drive, Lebanon, NH, USA.
Mimi LanSpace Medicine Innovations Laboratory, Geisel School of Medicine at Dartmouth, One Medical Center Drive, Lebanon, NH, USA.
Peter WostynDepartment of Psychiatry, PC Sint-Amandus, Beernem, Belgium.
Cihan KadipasaogluDepartment of Neurology, Houston Methodist Hospital, Houston, TX, USA.
Scott M SmithHuman Health and Performance Directorate, NASA Johnson Space Center, Houston, TX, USA.
Sara R ZwartUniversity of Texas Medical Branch, Galveston, TX, USA.
Benjamin J FrankfortDepartments of Ophthalmology and Neuroscience, Baylor College of Medicine, Houston, TX, USA.
Sarah AmanWilmer Eye Institute, Johns Hopkins Medicine, Baltimore, MD, USA.
Jessica M ScottMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, USA.
Ethan WaisbergUniversity of Cambridge, Cambridge, United Kingdom.
Mouayad MasalkhiUniversity College Dublin School of Medicine, Belfield, Dublin, Ireland.
Andrew G LeeThe Houston Methodist Research Institute, Houston Methodist Hospital, Houston, TX, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, NY, USA; Department of Ophthalmology, University of Texas Medical Branch, Galveston, TX, USA; University of Texas MD Anderson Cancer Center, Houston, TX, USA; Texas A&M College of Medicine, Bryan, TX, USA; Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA. Electronic address: aglee@houstonmethodist.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Weill Cornell/Rockefeller/Sloan Kettering MST ProgramT32GM152349 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KATHARINE C HSU · 2024 to 2026
$6.6M
NCI NIH HHS P30 CA008748NIGMS NIH HHS T32 GM152349
6 · The paper itself

Abstract

Astronauts can develop a distinct collection of neuro-ophthalmic findings during long duration spaceflight, collectively known as Spaceflight Associated Neuro-ocular Syndrome (SANS). These clinical characteristics include optic disc edema, hyperopic refractive shifts, globe flattening, and chorioretinal folds, which may pose a health risk for future space exploration. Obtaining knowledge of SANS and countermeasures for its prevention is crucial for upcoming crewed space missions and warrants a multidisciplinary approach. This review examines the potential causes and countermeasures of SANS, including space anticipation glasses, lower body negative pressure, venoconstrictive thigh cuffs, impedance threshold devices, translaminar pressure gradient modulation, centrifugation, artificial gravity, pharmaceuticals, and precision nutritional supplementation. This paper highlights future research directions for understanding the genetic, anthropometric, behavioral, and environmental susceptibilities to SANS as well as how to use terrestrial analogs for testing future mitigation strategies.

Indexed as

Eye DiseasesPapilledemaSpace FlightWeightlessnessAstronautsHumansSyndromeGeneticsGogglesLBNPLower body negative pressureOne-carbon metabolismSANSSpaceflight associated neuro-ocular syndromeVenous thigh cuffs

Identifiers

PMID39971096
PMCPMC12103276

What OpenQuestion holds

Textmetadata
LicenceTDM
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.