Evidence map›Paper›PMID 40190951›Full record

ReviewCureus2025

Effectiveness of Immunosuppressive Therapy in Preventing the Progression of Ocular Myasthenia Gravis to Generalized Myasthenia Gravis: A Systematic Review and Meta-Analysis.

Scott Nall, Jawaria Majeed, Abdulazizi Ahmed Mohsen Alrashidi, Mohammad Alhneif, Abdul Hannan Asghar, Abdullah Mubarik, Ibrahim Ahmed Mohsen Alrashidi, Danish Allahwala

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Ocular myasthenia gravis management.Frontiers in neurology · 2025
    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

8 authors.

Scott NallMedicine, Central Michigan University (CMU) School of Medicine, Mount Pleasant, USA.
Jawaria MajeedGastroenterology and Hepatology, Nishtar Medical University, Multan, PAK.
Abdulazizi Ahmed Mohsen AlrashidiHealth Affairs, Ministry of National Guard, Riyadh, SAU.
Mohammad AlhneifNeuropathology, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Abdul Hannan AsgharMedicine, Quaid-e-Azam Institute of Nursing and Allied Health Sciences, Lahore, PAK.
Abdullah MubarikMedicine, Quaid-e-Azam Institute of Nursing and Allied Health Sciences, Lahore, PAK.
Ibrahim Ahmed Mohsen AlrashidiPharmacy, Al Nakheel Medical Centre, Muqaba, BHR.
Danish AllahwalaNephrology, Fatima Memorial Hospital, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ocular myasthenia gravis (OMG) is a localized form of myasthenia gravis (MG) that primarily affects the extraocular muscles, causing symptoms such as ptosis and diplopia. Without treatment, patients with OMG can progress to generalized MG (gMG), which involves systemic muscle weakness and can lead to severe complications. Immunosuppressive therapy aims to modulate the autoimmune response that underlies MG by reducing the production of pathogenic autoantibodies against the acetylcholine receptors (AChRs) or related neuromuscular junction components. This systematic review and meta-analysis evaluated the effectiveness of immunosuppressive therapy in preventing progression from OMG to gMG. A comprehensive literature search was conducted across PubMed, Web of Science, and Embase databases for studies published through January 2025. Ten retrospective observational studies met inclusion criteria, comprising 1,458 participants, with 761 receiving immunosuppression therapy. The meta-analysis revealed that immunosuppressive therapy significantly reduced the risk of generalization compared to control groups (OR: 0.23, 95%CI: 0.15-0.38, I

Indexed as

disease progressiongeneralized myasthenia gravisimmunosuppressive therapymeta-analysisocular myasthenia gravis

Identifiers

PMID40190951
PMCPMC11972140

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.