Evidence map›Paper›PMID 41956518›Full record

ArticleTuberculosis and respiratory diseases2026

Linezolid-Induced Optic Neuritis in Tuberculosis: A Systematic Review of Case Reports, Case Series, and Cohort Studies.

Sanjay Singhal, Ranganath Ganga, Pulkit Gupta, Aneeket Rastogi, Shilpi Arya, Shikha Agarwal, Shubham Singh, Ravindra Kumar Garg

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Article in Tuberculosis and respiratory diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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.

Sanjay SinghalDepartment of Respiratory Medicine, TS Misra Medical College, Lucknow, India. drsanjaysinghal79@yahoo.co.in.
Ranganath GangaDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, Raipur, India.
Pulkit GuptaDepartment of Pulmonary Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Aneeket RastogiDepartment of Pulmonary Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Shilpi AryaDepartment of Ophthalmology, King George's Medical University, Lucknow, India.
Shikha AgarwalDepartment of Ophthalmology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Shubham SinghDepartment of Respiratory Medicine, TS Misra Medical College, Lucknow, India.
Ravindra Kumar GargDepartment of Neurology, Era's Medical College and Hospital, Era University, Lucknow, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the increasing use of linezolid for the treatment of drug-resistant tuberculosis, concerns have emerged regarding serious adverse effects, including optic neuritis. To systematically review the available evidence on the incidence of optic neuritis reported in the cohort, its onset, linezolid doses and duration, spectrum, management approaches, and outcomes across case reports and series studies.

methodsA systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines after registration in International Prospective Register of Systematic Reviews (PROSPERO; CRD420251108339). We searched PubMed, EMBASE, and Scopus. Eligible studies included case reports, case series, and cohort studies of patients with tuberculosis who developed optic neuritis while receiving linezolid. Data were extracted independently by two reviewers, and methodological quality was assessed using a validated tool for evaluating case reports and case series. Results were synthesized narratively with descriptive statistics.

resultsNineteen case reports and case series, 35 cohort studies, and safety data from five randomized controlled trials were included. Most reported cases originated from India (61.6%), with a mean age of 30.6±13.0 years; 65.4% were male. Linezolid was administered at 600 mg/day in nearly 90% of cases, with a median exposure of 7 months. Visual symptoms were typically painless and bilateral. After discontinuation of linezolid, more than half of the patients achieved complete visual recovery, while 34.6% experienced residual visual impairment. Across cohort studies, the incidence of optic neuritis ranged from 0.47% to 30%, with higher rates observed in smaller studies from a single country and among patients with a low body mass index.

conclusionThis infrequent but clinically significant complication requires early recognition, prompt drug withdrawal, and routine ophthalmological monitoring.

Indexed as

LinezolidOptic neuritisTuberculosis

Identifiers

PMID41956518
PMCPMC13334112

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