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Cited by 328

The DOI matches its Crossref record; 79 of the 79 references it cites were found in a registry or an index.

Spaceflight associated neuro-ocular syndrome (SANS) and the neuro-ophthalmologic effects of microgravity: a review and an update

Open access
Lee, Andrew G., Mader, Thomas H., Gibson, C. Robert, Tarver, William, Rabiei, Pejman, Riascos, Roy F., Galdamez, Laura A., Brunstetter, Tyson·2020·npj Microgravity

Abstract

Prolonged microgravity exposure during long-duration spaceflight (LDSF) produces unusual physiologic and pathologic neuro-ophthalmic findings in astronauts. These microgravity associated findings collectively define the “Spaceflight Associated Neuro-ocular Syndrome” (SANS). We compare and contrast prior published work on SANS by the National Aeronautics and Space Administration’s (NASA) Space Medicine Operations Division with retrospective and prospective studies from other research groups. In this manuscript, we update and review the clinical manifestations of SANS including: unilateral and bilateral optic disc edema, globe flattening, choroidal and retinal folds, hyperopic refractive error shifts, and focal areas of ischemic retina (i.e., cotton wool spots). We also discuss the knowledge gaps for in-flight and terrestrial human research including potential countermeasures for future study. We recommend that NASA and its research partners continue to study SANS in preparation for future longer duration manned space missions.

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Metadata

Authors
Lee, A. G., Mader, T. H., Gibson, C. R., Tarver, W., Rabiei, P., Riascos, R. F., Galdamez, L. A., & Brunstetter, T.
Venue
npj Microgravity
Published
2020-02-07
Volume
6
Issue
1
Pages
7-7
ISSN
2373-8065 (ISSN-L)
OpenAlex
W3004834531
Cited by
328
References
79
FWCI
20.37
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Spaceflight associated neuro-ocular syndrome (SANS) and the neuro-ophthalmologic effects of microgravity: a review and an update. https://app.cochat.ai/papers/10.1038/s41526-020-0097-9
The paper
Lee, A. G., Mader, T. H., Gibson, C. R., Tarver, W., Rabiei, P., Riascos, R. F., Galdamez, L. A., & Brunstetter, T. (2020). Spaceflight associated neuro-ocular syndrome (SANS) and the neuro-ophthalmologic effects of microgravity: a review and an update. npj Microgravity. https://doi.org/10.1038/s41526-020-0097-9

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