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Surgical management of dysthyroid optic neuropathy: A systematic review

dc.rights.licenseopenen_US
dc.contributor.authorMEUNIER, A.
dc.contributor.authorHAISSAGUERRE, M.
dc.contributor.authorMAJOUFRE, C.
hal.structure.identifierBioingénierie tissulaire [BIOTIS]
dc.contributor.authorSCHLUND, Matthias
dc.date.accessioned2025-03-19T13:01:49Z
dc.date.available2025-03-19T13:01:49Z
dc.date.issued2024
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/205563
dc.description.abstractEnObjective: There is currently no recommendation on the optimal surgical management for dysthyroid optic neuropathy (DON). The aim of this study is to systematically review the surgical management of DON and its outcome on visual acuity (VA). Data sources: MEDLINE, Cochrane Library, and clinicaltrials.gov Review Methods: A systematic review of studies about the surgical management of DON was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Articles were included if preoperative and postoperative VA in logMAR (Logarithm of the Minimum Angle of Resolution) were available. Results: Fifteen articles were included in the study accounting for 669 orbits. The mean VA improvement was of 0.44 logMAR overall, 0.41 logMAR for 1-wall, 0.41 logMAR for 2-wall, and 0.55 logMAR for 3-wall decompressions. The mean reduction in exophthalmos was 4.9 mm overall, 4.3 mm for 1-wall, 4.54 mm for 2-wall, and 6.02 for 3-wall decompressions. The mean new onset diplopia (NOD) rate was 19.84% overall, 19,12% for 1-wall, 20.75% for 2-wall, and 19.83% for 3-wall decompressions. Conclusion: The results are limited due to the high number of biases in the included studies. It seems that 3-wall decompression offers the best VA improvement and proptosis reduction although also the highest NOD and complications rate. Two-wall balanced decompression or 1-wall inferomedial decompression seems to be effective with less morbidity. © 2023 Elsevier Masson SAS
dc.language.isoENen_US
dc.title.enSurgical management of dysthyroid optic neuropathy: A systematic review
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jormas.2023.101616en_US
dc.subject.halSciences du Vivant [q-bio]en_US
bordeaux.journalJournal of Stomatology, Oral and Maxillofacial Surgeryen_US
bordeaux.volume125en_US
bordeaux.hal.laboratoriesBioingénierie Tissulaire (BioTis) - U1026en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionCNRSen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCHU de Bordeauxen_US
bordeaux.institutionInstitut Bergoniéen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04997151
hal.version1
hal.date.transferred2025-03-19T15:57:08Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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