Endoscopic Management of Paranasal Sinus Mucoceles: Meta-analysis of Visual Outcomes
| Autor: | Todd T. Kingdom, Sophie D. Liao, Eric M. Hink, Leonid M. Zukin, Vijay R. Ramakrishnan, Anne E. Getz |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Mucocele Vision Disorders Visual Acuity Cochrane Library Article 03 medical and health sciences 0302 clinical medicine Paranasal Sinus Diseases Medicine Humans 030223 otorhinolaryngology Sinus (anatomy) Receiver operating characteristic business.industry Area under the curve Endoscopy medicine.disease Decompression Surgical eye diseases medicine.anatomical_structure Otorhinolaryngology Meta-analysis Decreased Visual Acuity 030221 ophthalmology & optometry Surgery Radiology medicine.symptom business |
| Popis: | Objective Paranasal sinus mucoceles are benign cystic lesions originating from sinus mucosa that can impinge on adjacent orbital structures, causing ophthalmic sequelae such as decreased visual acuity. Definitive treatment requires surgery. We present the first meta-analysis quantifying the effect of preoperative visual function and time to surgery on postoperative visual acuity outcomes. Data Sources PubMed, Ovid, Embase, Web of Science, and the Cochrane Library. Methods Two independent authors systematically reviewed articles describing outcomes after endoscopic sinus surgery for paranasal sinus mucoceles presenting with visual loss. Available data from case reports and series were combined to analyze the associations among preoperative visual acuity, time to surgery, and postoperative outcomes. Results Eighty-five studies were included that provided data on 207 patients. The average presenting visual acuity was 1.57 logMAR (logarithm of the minimum angle of resolution), and the average postoperative visual acuity was 0.21 logMAR, with visual improvement in 71.5% of cases. Preoperative visual acuity ≥1.52 logMAR correlated with postoperative improvement >1 logMAR ( R = 0.4887, P < .0001). A correlation was found between a time to surgery |
| Databáze: | OpenAIRE |
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