Surgical outcomes and prognostic factors in traumatic optic neuropathy: a systematic review and meta-analysis of the endoscopic optic nerve decompression.
Aug 2026· European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery· 0 citations· 54 references
Medicine
TL;DR
While pooled data supports surgical decompression as an effective intervention, future multicenter randomized controlled trials are essential to refine patient selection criteria, clarify the role of adjunctive steroids, and establish standardized protocols.
The results of this review suggest that medical management and surgical intervention have therapeutic value in the resolution of TON; however, in the instance of neuropathy that is refractory to medical management in the setting of injuries with deformities that warrant surgical repair, the pursuit of intervention with...
H. Jazayeri, Michelle Y. Seu, Nima Khavanin et al.· Plastic and Reconstructive S...· 0 citations
Visual outcomes in TON are variable and unpredictable, highlighting the importance of early neuro-ophthalmic assessment, close visual monitoring, and appropriate counselling regarding the guarded visual prognosis.
Mohammad Syafiq Yusop, Siti Syahirah Nabilah Abdullah, M. Shahidatul-Adha et al.· BMC Ophthalmology· 0 citations
Optic nerve sheath diameter measurement may serve as a simple, non-invasive adjunct for early prognostic assessment, although further standardised prospective studies are needed.
Wen-Yan Chen, Jia-Yuan Zhu· Pakistan Journal of Medical...· 0 citations
Introduction Traumatic optic neuropathy (TON) is an acute injury to the optic nerve caused by direct or indirect trauma, often resulting in vision loss. Endoscopic transsphenoidal optic nerve decompression (EOND) is a minimally invasive technique designed to relieve pressure on the optic nerve. This systematic review e...
B. Ganjeifar, Seyed Reza Ahmadi Koupaei, Ali Moradi· Romanian Journal of Ophthalm...· 0 citations
Early diagnosis and timely surgical intervention are critical for optimising outcomes in retained IOFBs and CT and pars plana vitrectomy remain central to management, while delayed intervention increases the risk of severe complications.
P. Priya, Nibha Mishra, N. Yadav et al.· British Journal of Ophthalmo...· 1 citation
Purely endoscopic resection of BCMs is a technically feasible and effective treatment modality, particularly for ventral and ventromedial pontine lesions, and offers high GTR rates and favorable neurological recovery while avoiding the brain retraction associated with open microsurgery.
O. Alomarı, A. Allahaweh, B. Alrabadi et al.· Neurosurgical review· 0 citations
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