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FLUORESCE: A Pilot Randomized Clinical Trial of Fluoxetine for Vision Recovery After Acute Ischemic Stroke.
- Source :
- Journal of Neuro-Ophthalmology; Jun2023, Vol. 43 Issue 2, p237-242, 6p
- Publication Year :
- 2023
-
Abstract
- Supplemental Digital Content is Available in the Text. Background: Poststroke homonymous hemianopia is disabling, and complete spontaneous recovery is rare. In this randomized, placebo-controlled, double-blind, pilot clinical trial, we tested whether fluoxetine enhances vision recovery after stroke. Methods: We randomized 17 consecutive adults 1:1 to 90 days of fluoxetine 20 mg daily vs placebo within 10 days of an ischemic stroke causing isolated homonymous hemianopia. The primary end point was percent improvement in 24-2 automated perimetry at 6 months. Twelve participants completed the study. Clinical trial registration NCT02737930. Results: Intention-to-treat analysis of the primary end point, percent improvement in perimetric mean deviation, showed a nonsignificant benefit of fluoxetine (64.4%, n = 5) compared with placebo (26.0%, n = 7, one-tailed 95% confidence interval (CI) = (−2.13, ∞), P = 0.06). The original blind field completely recovered in 60% receiving fluoxetine and 14% receiving placebo (odds ratio = 7.22, one-tailed 95% CI = (0.50, ∞)). Conclusion: These results suggest a trend in favor of fluoxetine for vision recovery after stroke and have the potential to inform the design of a larger multicenter trial. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10708022
- Volume :
- 43
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Journal of Neuro-Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 163721149
- Full Text :
- https://doi.org/10.1097/WNO.0000000000001654