Evidence map›Paper›PMID 40087651›Full record

ArticleBMC ophthalmology2025

Anterior ischemic optic neuropathy in patients treated with semaglutide: report of four cases with a possible association.

Hamid Ahmadi, Steffen Hamann

Abstract readCase Reports
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Semaglutide and risk of Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) in type 2 diabetes mellitus: A systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Pooled it
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  4. Review
  5. Article
  6. Review
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  8. Optic disc edema during semaglutide therapy: case report and literature review.American journal of ophthalmology case reports · 2025
    Article
  9. The unseen risk of Ozempic: NAION and vision damage.Annals of medicine and surgery (2012) · 2025
    Article
  10. Review
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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

2 authors.

Hamid AhmadiDepartment of Ophthalmology, Copenhagen University Hospital Rigshospitalet, Valdemar Hansens vej, 13, 2600, Glostrup, Denmark. hamid.ahmadi.01@regionh.dk.
Steffen HamannDepartment of Ophthalmology, Copenhagen University Hospital Rigshospitalet, Valdemar Hansens vej, 13, 2600, Glostrup, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSemaglutide, a glucagon-like peptide-1 receptor agonist, is increasingly used worldwide for its cardiometabolic benefits. However, it has recently been associated with nonarteritic anterior ischemic optic neuropathy (NAION). This report presents four clinical cases and explores a possible association. CASE PRESENTATION: Four male patients were diagnosed with NAION during semaglutide treatment, with treatment durations of less than one year in three cases. All presented with significant optic disc edema and intraretinal fluid on optical coherence tomography, along with crowded optic disc and small Bruch's membrane opening diameters (< 1.4 mm in three cases). One patient exhibited optic disc drusen. Visual field defects corresponded with ganglion cell layer atrophy on optical coherence tomography. Systemic risk factors varied; two patients had only obesity.

conclusionsOur observation suggests that individuals with small Bruch's membrane opening diameter may be at risk of developing NAION during semaglutide treatment.

Indexed as

Glucagon-Like PeptidesHypoglycemic AgentsOptic Neuropathy, IschemicPhenylpropionatesAgedDiabetes Mellitus, Type 2Glucagon-Like Peptide 1HumansMaleMiddle AgedSemaglutideTomography, Optical CoherenceVisual AcuityVisual FieldsGlucagon-Like Peptide 1Glucagon-Like PeptidesHypoglycemic AgentsPhenylpropionatesSemaglutidecase-series.nonarteritic anterior ischemic optic neuropathySemaglutide

Identifiers

PMID40087651
PMCPMC11908077

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
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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.