Evidence map›Paper›PMID 37193956›Full record

ArticleBMC ophthalmology2023

The outcomes of endoscopic orbital decompression combined with fat decompression for thyroid-associated ophthalmopathy.

Yunyan Ye, Feng Hu, Yuanfei Ji, Ruijun Wang, Kexuan Zhu, Qiao Kong

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Yunyan Ye *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China.
Feng Hu *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China.
Yuanfei Ji *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China.
Ruijun Wang *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China.
Kexuan Zhu *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China.
Qiao Kong *Department of Ophthalmology, Li Huili Hospital affiliated with Ningbo University, Xingning Road-57, Yinzhou District, Ningbo City, Zhejiang Province, China. 1179923194@qq.com.
Ningbo Medical Center Lihuili Hospital · CNNingbo University Affiliated Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present the clinical features of thyroid-associated ophthalmopathy (TAO) with different CT types, and to report the outcomes of endoscopic orbital decompression combined with fat decompression (EOD-FD). PATIENTS AND

methodsThirty-four patients with TAO who underwent EOD-FD between December 2020 and March 2022 in the Ophthalmology Department of Li Huili Hospital Affiliated with Ningbo University, were included in this retrospective interventional case series. Patients were categorized into two groups based on the results of computerized tomography (CT) scans: muscle expansion type and fat hyperplasia type.

resultsThirty-four TAO patients (55 eyes) were included in this study, and the mean age was 38.62 years (range 22-60 years). The average eye protrusion (EP) reduced from preoperative 23.20 mm to postoperative 19.66 mm (p < 0.0001). Mean intraocular pressure (IOP) decreased from 20.11 mmHg at baseline to 17.29 mmHg postoperatively (p < 0.0001), with a reduction of 2.84 mmHg (14.12%). Twenty cases of muscle expansion and fourteen cases of fat hyperplasia were definite by CT imaging. The mean IOP in the muscle expansion group was higher than that in the fat hyperplasia group (p < 0.05). Elevated intraocular pressure (IOP) occurred in 23 eyes (36.11%), and it was associated with extraocular muscle involvement, gender, and EP. In 3 cases of impaired vision, the mean best corrected visual acuity (VA) improved from 0.4 preoperatively to 0.84 postoperatively (p < 0.01). There were 8 cases with visual field (VF) damage and/or corneal epithelium damage, and all these damages were reversible.

conclusionIn this study, we describe the clinical features and experience of EOD-FD in patients with TAO. EOD-FD is an effective technique in reducing IOP and proptosis, with a low incidence of postoperative diplopia.

Indexed as

ExophthalmosGraves OphthalmopathyAdultDecompressionEndoscopyHumansHyperplasiaMiddle AgedOrbitRetrospective StudiesTreatment OutcomeYoung AdultDecompressionElevated IOPExophthalmosGraves

Identifiers

PMID37193956
PMCPMC10186627
OpenAlexW4376644554

What OpenQuestion holds

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LicenceCC BY
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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.