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Not yet recruitingNCT07900230GEIRUpdated Nov 6, 2026

The GEIR (Grupo español de Ictus Retina) Registry: Rationale and Design of the First Nationwide Multicentre Retinal Stroke Registry in Spain

An observational study in Retinal Artery Occlusion, Central Retinal Artery Occlusion and Retinal Ischemia, sponsored by Germans Trias i Pujol Hospital. Not yet recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Germans Trias i Pujol Hospital · Observational

Updated Nov 6, 2026First site in SpainPrimary completion moved+4 moreGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
500
Ages
18 Years and older
Sex
All
01

Study summary

Retinal stroke is a time-dependent neurovascular emergency associated with severe visual loss, increased risk of cerebrovascular events and substantial variability in clinical management.

The GEIR Registry is a nationwide, multicentre, ambispective observational registry comprising retrospective and prospective data collected from participating hospitals throughout Spain.

Read the detailed description

Despite growing recognition of retinal artery occlusion as the ocular equivalent of acute ischaemic stroke, important uncertainties remain regarding its epidemiology, pathophysiology, healthcare delivery, retinal viability and optimal treatment strategies. Current evidence is largely derived from retrospective cohorts, single-centre studies and a limited number of randomised clinical trials. Furthermore, no nationwide multicentre retinal stroke registry currently exists in Spain. The GEIR Registry was established to address these knowledge gaps through the creation of a national clinical and translational research platform dedicated to retinal stroke.

Methods and analysis The GEIR Registry is a nationwide, multicentre, ambispective observational registry comprising retrospective and prospective data collected from participating hospitals throughout Spain.

Consecutive patients presenting with retinal stroke, including central retinal artery occlusion, branch retinal artery occlusion, cilioretinal artery occlusion and paracentral acute middle maculopathy, are eligible for inclusion.

Clinical information is collected using a the institution's REDCap electronic data base specifically designed for the registry and includes demographic characteristics, vascular risk factors, acute stroke pathway metrics, neurovascular investigations, reperfusion therapies, laboratory biomarkers, secondary prevention strategies, neurological outcomes, ophthalmological assessments and longitudinal optical coherence tomography (OCT) biomarkers.

The registry aims to characterise retinal stroke epidemiology, healthcare delivery and long-term outcomes, while providing a unique platform for investigating retinal ischaemia, imaging biomarkers of retinal viability and predictors of visual recovery. Statistical analyses include descriptive epidemiological analyses, multivariable regression models and longitudinal outcome assessments.

Ethics and dissemination The registry will be conducted in accordance with the Declaration of Helsinki, applicable European and Spanish data protection regulations and local ethics committee approvals. Written informed consent will be obtained for prospective participants. Data will be pseudonymised and stored within a secure REDCap infrastructure.

Results generated from the registry will be disseminated through peer-reviewed publications, scientific conferences and collaborative multicentre research initiatives. The GEIR Registry is intended to serve as a long-term national infrastructure supporting clinical, epidemiological and translational research in retinal stroke.

02

Conditions studied

  • Retinal Artery Occlusion
  • Central Retinal Artery Occlusion
  • Retinal Ischemia
  • Cilioretinal Arteries

Keywords

  • Retinal stroke
  • Retinal arterial occlusion
  • Central retinal artery occlusion
  • thromboyisis
  • fibrinolysis
  • reperfusion
  • retinal vasculopathy
03

In context

Retinal Artery Occlusion

31 studies on the registry are indexed under Retinal Artery Occlusion; 7 are open to participants now.

This study's planned enrollment of 500 is above the median of 388 across 14 observational studies indexed under Retinal Artery Occlusion.

Browse Retinal Artery Occlusion studies →

Lead sponsor

Germans Trias i Pujol Hospital is the lead sponsor of 89 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

patients affected of retinal stroke

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Age >18 years.

Clinical diagnosis of retinal stroke.

Symptom onset or last known normal vision within the previous 24 hours.

Absence of pre-existing ocular pathology severely limiting visual acuity in the affected eye.

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Exclusion criteria

Exclusion Criteria:

  • Patient with others diseases affecting retinal examination or retinal behaviour
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
500 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. national research registry platform

    To establish the first nationwide retinal stroke registry in Spain.

    Time frame: 2026.12 - 2030.12

  2. To estimate the epidemiological burden of retinal stroke.

    To estimate the national epidemiological burden of retinal stroke in Spain.

    Time frame: 2026.12 - 2030.12

  3. To characterise healthcare pathways and access to reperfusion therapies.

    To characterise national healthcare pathways and access to reperfusion therapies in Spain

    Time frame: 2026.12 - 2030.12

  4. To describe the natural history of retinal stroke.

    Retinal stroke natural history in Spain

    Time frame: 2026.12 - 2030.12

  5. To identify clinical, neurovascular and imaging predictors of visual recovery.

    searching imaging predictors of visual recovery

    Time frame: 2026.12 - 2030.12

  6. To investigate OCT biomarkers associated with retinal viability and treatment response. [CEIC GEIR HUGTiP | Word] and precise the time of retinal ischemia

    searching OCT biomarkers of retinal viability

    Time frame: 2026.12 - 2030.12

07

Study locations

1 site
  • Germans Trias
    Badalona, Barcelona 08916, Spain
08

References and documents

Publications

  • Carnota-Mendez P, Remoli-Sargues L, Copete S, Fernandez-Vega-Gonzalezd A, Montero-Hernandez J, Zarranz-Ventura J, Alforja-Castiella MS, Renu-Jornet A, Doncel-Moriano A, Gomez-Ulla F, Ruiz-Bilbao S, Vieitez-Vazquez J, Mendez-Vazquez C, Blanco-Marchite C, Moreno-Martinez A, Sanchez-Maluf N, Olivier-Pascual N. Clinical Guidelines for the Diagnosis and Management of Retinal Artery Occlusions by the Spanish Society of Retina and Vitreous. Ophthalmologica. 2026;249(3):288-312. doi: 10.1159/000551309. Epub 2026 Mar 12. PubMed 41818386 ↗
  • Bouchikh-El Jarroudi R, Valentin-Bravo FJ, Calatayud-Riera M, Ruiz-Bilbao S. Retinal stroke: A call to action for awareness and treatment of ocular vascular emergencies. Arch Soc Esp Oftalmol (Engl Ed). 2024 Sep;99(9):363-364. doi: 10.1016/j.oftale.2024.03.006. Epub 2024 Apr 24. No abstract available. PubMed 38670259 ↗
  • Ruiz-Bilbao S, Bustamante A. Retina Stroke Code. A reality. Med Clin (Barc). 2024 Nov 15;163(9):458-460. doi: 10.1016/j.medcli.2024.05.024. Epub 2024 Aug 14. No abstract available. English, Spanish. PubMed 39147633 ↗
  • Bustamante A, Balboa M, Ezcurra G, Sanchez-Fortun A, Ruiz J, Castellvi J, Castillo-Acedo S, Matas E, Bouchikh R, Martinez-Sanchez M, Castano C, Remollo S, Werner M, Salgado MC, Villodres S, Gea M, Millan M, Perez de la Ossa N, Ruiz-Bilbao S. Implementation of a retinal stroke-code protocol results in visual recovery in patients receiving reperfusion therapies. Eur Stroke J. 2024 Jun;9(2):486-493. doi: 10.1177/23969873231221366. Epub 2024 Jan 8. PubMed 38189284 ↗

Individual participant data

Plan to share: No — undecided

09

Updates

3 registry updates since Sep 25, 2026
Sites
1 site added — first site in Spain
Show site
  • Germans Trias · Badalona, Spain
Nov 6, 2026
Primary completion
Jan 1, 2028→Jan 1, 2030
Nov 6, 2026
Primary outcomes
5 added, 1 description edited
What changed in the outcomes
  • AddedTo estimate the epidemiological burden of retinal stroke.Time frame: 2026.12 - 2030.12
  • AddedTo characterise healthcare pathways and access to reperfusion therapies.Time frame: 2026.12 - 2030.12
  • AddedTo describe the natural history of retinal stroke.Time frame: 2026.12 - 2030.12
  • AddedTo identify clinical, neurovascular and imaging predictors of visual recovery.Time frame: 2026.12 - 2030.12
  • AddedTo investigate OCT biomarkers associated with retinal viability and treatment response. [CEIC GEIR HUGTiP | Word] and precise the time of retinal ischemiaTime frame: 2026.12 - 2030.12
  • Descriptionnational research registry platform: how it is measured was reworded
Nov 6, 2026
Title
The GEIR (Grupo español de Ictus Retina) Registry: Rationale and Design of the First Nationwide Multicentre Retinal Stroke Registry in Spain
Oct 29, 2026
Registered
First appeared on the registry
Oct 28, 2026
Show all 3 updates
  1. Nov 6, 2026
    1 site added — first site in Spain
    Show site
    • Germans Trias · Badalona, Spain
    Primary completion Jan 1, 2028→Jan 1, 2030
    Primary outcomes 5 added, 1 description edited
    What changed in the outcomes
    • AddedTo estimate the epidemiological burden of retinal stroke.Time frame: 2026.12 - 2030.12
    • AddedTo characterise healthcare pathways and access to reperfusion therapies.Time frame: 2026.12 - 2030.12
    • AddedTo describe the natural history of retinal stroke.Time frame: 2026.12 - 2030.12
    • AddedTo identify clinical, neurovascular and imaging predictors of visual recovery.Time frame: 2026.12 - 2030.12
    • AddedTo investigate OCT biomarkers associated with retinal viability and treatment response. [CEIC GEIR HUGTiP | Word] and precise the time of retinal ischemiaTime frame: 2026.12 - 2030.12
    • Descriptionnational research registry platform: how it is measured was reworded
    + 1 other change: verification date
  2. Oct 29, 2026
    Title The GEIR (Grupo español de Ictus Retina) Registry: Rationale and Design of the First Nationwide Multicentre Retinal Stroke Registry in Spain
    + 1 other change: conditions
  3. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07900230
Lead sponsor
Germans Trias i Pujol Hospital
Responsible party
Susana M Ruiz Bilbao (OPHTHALMOLOGIST MD. PhD., Germans Trias i Pujol Hospital) — Principal investigator
First posted
Oct 28, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Jan 1, 2030 (estimated)
Completion
Jan 1, 2030 (estimated)
Last update
Nov 6, 2026

Study contacts

Susana Ruiz-Bilbao, MD PhD
Contact
sruizbilbao@gmail.com
+34 93 4651200 ext. 9

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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