Evidence map›Paper›PMID 33569438›Full record

ArticleAnnals of translational medicine2021

Role of delayed wider endoscopic optic decompression for traumatic optic neuropathy: a single-center surgical experience.

Shang-Feng Zhao, Li Yong, Jia-Liang Zhang, Jiang-Ping Wu, Hao-Cheng Liu, Si Sun, Gui-Dong Song, Jian-Min Ma, Jun Kang

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  5. 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

9 authors at 1 institution in 1 country.

Shang-Feng ZhaoDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Li YongDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Jia-Liang ZhangDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Jiang-Ping WuDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Hao-Cheng LiuDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Si SunDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Gui-Dong SongDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Jian-Min MaBeijing Ophthalmology & Vision Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Jun KangDepartment of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Beijing Tongren Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the present study was to discuss the efficacy of delayed wider endoscopic optic decompression in traumatic optic neuropathy (TON).

methodsA total of 479 patients were treated with corticosteroids and delayed wider endoscopic optic decompression, including the injury-to-surgery interval, within 2 weeks in patients with no light perception (NLP), and within 1 month in patients with residual eyesight. Based on the traditional decompression range, the superior wall of the optic canal was further decompressed. The preoperative and postoperative visual acuities (VAs) were reviewed, and the therapeutic efficacy was analyzed.

resultsThe final VA was 0.1 or better in 29 cases, finger count in 79 cases, hand motion in 99 cases, light perception (LP) in 25 cases, and NLP in 247 cases. A total of 136 patients (136/383, 35.5%) recovered after NLP treatment, and 78 patients (69/96, 71.9%) had improved residual eyesight. The improvement rate in patients with residual eyesight was significantly higher than that of patients with NLP (P<0.01). Moreover, the total VA after treatment was better than that before surgery (P<0.01).

conclusionsDelayed wider optic nerve decompression plus corticosteroids remains an effective and safe therapeutic strategy for patients with delayed treatment intervals of more than 1 week, especially for those with residual eyesight within 1 month.

Indexed as

corticosteroidsdelayed wider decompressionfollow-upTraumatic optic neuropathy (TON)

Identifiers

PMID33569438
PMCPMC7867910
OpenAlexW3123868529

What OpenQuestion holds

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Registered trials

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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.