ReviewInternational ophthalmology2026
A systems approach to the diagnosis and management of vision‑threatening ocular changes in midface trauma: a narrative review and proposed practical framework.
Review in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo summarize current evidence regarding vision-threatening ocular complications associated with midface trauma and to propose a practical systems-oriented framework for their early recognition, evaluation, and management.
methodsA narrative review of the literature was conducted focusing on ocular injuries associated with midface trauma, including orbital compartment syndrome, open-globe injury, extraocular muscle entrapment, hyphema, posterior segment trauma, and traumatic optic neuropathy. Evidence was synthesized to develop a clinically applicable framework for multidisciplinary trauma care.
resultsVision-threatening ocular injuries following midface trauma require rapid identification and timely escalation. Key components include bedside ocular screening, recognition of red-flag findings, appropriate imaging, early ophthalmology consultation, and coordinated communication between emergency, maxillofacial, ophthalmology, and trauma teams. Evidence strongly supports urgent intervention for orbital compartment syndrome and does not support routine high-dose corticosteroid therapy for traumatic optic neuropathy. Additional recommendations include standardized checklists, structured handover processes, and local quality-improvement measures.
conclusionsA systems-based approach may improve the early detection and management of vision-threatening ocular injuries in patients with midface trauma. The proposed framework aims to reduce preventable visual loss, standardize multidisciplinary care pathways, and support future prospective evaluation of clinical outcomes.
Indexed as
Identifiers
42250051What OpenQuestion holds
Registered trials
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.