{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:04:14Z","timestamp":1789729454010,"version":"4.0.1"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,1,19]],"date-time":"2016-01-19T00:00:00Z","timestamp":1453161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Traumatic optic neuropathy (TON) represents a rare but devastating complication of closed head injuries. No accepted guidelines are available for medical and surgical management algorithms. A systematic review of the literature was performed to determine the optimal timing and candidacy for endoscopic surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review of multiple databases was performed including Medline\u2010Ovid, EMBASE, and PubMed. Data was extracted and patients stratified based on surgical delay from trauma (\u22643 days, &gt;3 days, \u22647 days, or &gt;7 days) as well as preoperative and postoperative vision testing (no light perception [NLP]; light perception [LP]; hand motion [HM]; or finger counting [FC] or better).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The literature review identified 24 studies meeting inclusion criteria. In the group of patients receiving surgery \u22643 days after the antecedent event, 57% (105\/183) had visual improvement, whereas in the &gt;7\u2010days group 51% (145\/283) of patients improved. In those with NLP preoperatively, 41% (172\/411) saw improvement, whereas those with LP (89%), HM (93%), or FC (85%) fared better.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The literature suggests that surgical intervention for TON is indicated despite delayed presentation, and is a better choice than no intervention at all. Patients with complete blindness on presentation (NLP) tend to have a poorer surgical outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21706","type":"journal-article","created":{"date-parts":[[2016,1,19]],"date-time":"2016-01-19T09:14:42Z","timestamp":1453194882000},"page":"661-667","source":"Crossref","is-referenced-by-count":41,"title":["Timing of endoscopic surgical decompression in traumatic optic neuropathy: a systematic review of the literature"],"prefix":"10.1002","volume":"6","author":[{"given":"Sandeep S.","family":"Dhaliwal","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leigh J.","family":"Sowerby","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian 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