Evidence map›Paper›PMID 40317422›Full record

ReviewInternational ophthalmology2025

Thyroid-related orbitopathy: clinical overview, novel medical treatments and the role of orbital surgery.

Federico Giannuzzi, Matteo Mario Carlà, Emanuele Crincoli, Gloria Gambini, Lorenzo Hu, Francesco Boselli, Giovanni Cuffaro, Claudio Parrilla, Mario Rigante, Monica Maria Pagliara and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in International ophthalmology, 2025. 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
–field-weighted citation impact
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.

  1. Article
  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

12 authors.

Federico Giannuzzi *Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy. federico.giannuzzi@gmail.com.
Matteo Mario Carlà *Catholic University "Sacro Cuore", Largo A. Gemelli, 8, 00168, Rome, Italy.
Emanuele CrincoliCatholic University "Sacro Cuore", Largo A. Gemelli, 8, 00168, Rome, Italy.
Gloria GambiniOphthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Lorenzo HuOphthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Francesco BoselliOphthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Giovanni CuffaroOcular Oncology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Claudio ParrillaUnit of Otolaryngology, Fondazione Policlinico Universitario A.Gemelli IRCCS, 00168, Rome, Italy.
Mario RiganteUnit of Otolaryngology, Fondazione Policlinico Universitario A.Gemelli IRCCS, 00168, Rome, Italy.
Monica Maria PagliaraOcular Oncology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Stanislao Rizzo *Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Gustavo Savino *Ocular Oncology Unit, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our review is to report the thyroid orbitopathy treatments, focusing on novel medicines and ongoing research.

designReview developed by a research group at Catholic University of the Sacred Heart.

methodsOverview of the literature synthesizing the findings of literature retrieved from searches of computerized databases, hand searches and authoritative texts. Although minimally invasive surgical techniques have been developed, current research is placing greater emphasis on the use of biological and immunosuppressive drugs for the treatment of thyroid eye disease (TED). Teprotumumab, a monoclonal antibody targeting the insulin-like growth factor-1 receptor, has just been approved by the Food and Drug Administration as a therapy for the treatment of TED. This approval is based on its ability to relieve both the clinical signs and symptoms of the condition, such as proptosis and diplopia. Synthetic peptides imitating T cell epitopes and TSHR-CAR-T cells represent a potential and novel immunotherapeutic strategy.

conclusionsThe growth of several novel therapies highlights the intricate nature of the disease's aetiology and the multitude of processes involved in its regulation. These advancements reveal a future direction focused on personalized treatment of Graves' orbitopathy. The integration of multiple disciplines is becoming increasingly indispensable in the management of patients with this disease.

Indexed as

Graves OphthalmopathyOphthalmologic Surgical ProceduresOrbitHumansAutoimmune disorderGraves’ diseaseOptic neuropathyOrbital decompressionOrbital diseaseThyroid associated orbitopathyThyroid eye disease

Identifiers

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.