Evidence map›Paper›PMID 32676791›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

Proptosis due to intraorbital space-occupying lesions in children.

Alon Zahavi, Judith Luckman, Geulah S Ben-David, Helen Toledano, Shalom Michowiz, Yoav Vardizer, Nitza Goldenberg-Cohen

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

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

7 authors at 5 institutions in 1 country.

Alon ZahaviSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Judith LuckmanDepartment of Radiology, Rabin Medical Center, Beilinson Hospital, 4941492, Petah Tikva, Israel.
Geulah S Ben-DavidSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Helen ToledanoSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Shalom MichowizDepartment of Neurosurgery, Hadassah Medical Center, 91120, Jerusalem, Israel.
Yoav VardizerDepartment of Ophthalmology, Bnai-Zion Medical Center, 3339419, Haifa, Israel.
Nitza Goldenberg-CohenKrieger Eye Research Laboratory, Felsenstein Medical Research Center, 4941492, Petah Tikva, Israel. ncohen1@gmail.com.ORCID http://orcid.org/0000-0002-5648-1873
Tel Aviv University · ILBnai Zion Medical Center · ILHadassah Medical Center · ILRabin Medical Center · ILTechnion – Israel Institute of Technology · IL

Funding

Zanvyl and Isabelle Krieger Fund, Baltimore, MD, USA 1111
6 · The paper itself

Abstract

purposeTo report the 10-year experience of two tertiary medical centers with children presenting with proptosis due to an intraorbital space-occupying lesion.

methodsPatients were identified by file review. Data were collected on demographics, findings on ophthalmologic and imaging evaluations, etiology, treatment, and outcome.

resultsNineteen children (7 male) were included. Eleven patients had optic nerve glioma, including 9 with substantially decreased visual acuity. Treatment consisted of chemotherapy alone or with radiation, resection or anti-VEGF agents, MEK inhibitor, or observation only (n = 1). Visual and cosmetic outcomes were poor in all cases. Outcome for arteriovenous malformations was good following corticosteroid treatment (n = 1), but catheterization led to persistent proptosis and fluctuating visual acuity (n = 1). Compound capillary hemangioma (n = 1) was treated with laser and systemic beta blockers with satisfactory results. Rhabdomyosarcoma had a good prognosis in one patient treated with resection and radiation but was fatal in another even after chemotherapy. Juvenile xanthogranuloma, frontal bone osteoma, and localized hypertrophic neuropathy of the supraorbital nerve (n = 1 each) were treated by resection with good visual and cosmetic outcomes.

conclusionsProptosis accompanied by visual loss is an uncommon presentation in children and suggests an orbital tumor. We found that visual outcome was better when the nerve was not involved by tumor. Optic nerve glioma was the most common cause and failed to respond to various treatments. Catheterization for arteriovenous malformation did not prevent proptosis, and final visual acuity fluctuated. Surgery for rhabdomyosarcoma and xanthogranuloma led to remission with preservation of vision in 2 of 3 cases.

Indexed as

ExophthalmosOptic Nerve GliomaOrbital NeoplasmsChildHumansMaleOrbitRetrospective StudiesVision DisordersChemotherapyOptic nerveOptic nerve gliomaSurgeryTumor

Identifiers

PMID32676791
OpenAlexW3042561626

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.