{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:45:24Z","timestamp":1790815524254,"version":"4.1.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T00:00:00Z","timestamp":1649376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T00:00:00Z","timestamp":1649376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Graefes Arch Clin Exp Ophthalmol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To compare the decompressive effect around the optic nerve canal among 3 different decompression procedures (medial, balanced, and inferomedial) using 3D printed models.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this experimental study, based on data obtained from 9 patients (18 sides) with dysthyroid optic neuropathy, a preoperative control model and 3 plaster decompression models were created using a 3D printer (total, 72 sides of 36 models). A pressure sensor was placed at the optic foramen, and the orbital space was filled with silicone. The surface of the silicone was pushed down directly, and changes in pressure were recorded at 2-mm increments of pushing.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>At 10\u00a0mm of pushing, there was significantly lower pressure in the medial (19,782.2\u2009\u00b1\u20094319.9\u00a0Pa, <jats:italic>P<\/jats:italic>\u2009=\u20090.001), balanced (19,448.3\u2009\u00b1\u20093767.4\u00a0Pa, <jats:italic>P<\/jats:italic>\u2009=\u20090.003), and inferomedial (15,855.8\u2009\u00b1\u20094000.7\u00a0Pa, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) decompression models than in the control model (25,217.8\u2009\u00b1\u20096087.5\u00a0Pa). Overall, the statistical results for each 2-mm push were similar among the models up to 10\u00a0mm of pushing (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.050). At each push, inferomedial decompression caused the greatest reduction in pressure (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.050), whereas there was no significant difference in pressure between the medial and balanced decompression models <jats:italic>(P<\/jats:italic>\u2009&gt;\u20090.050).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>All 3 commonly performed decompression procedures significantly reduced retrobulbar pressure. Because inferomedial decompression models obtained the greatest reduction in pressure on the optic nerve canal, inferomedial decompression should be considered the most reliable procedure for rescuing vision in dysthyroid optic neuropathy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00417-022-05645-2","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T10:06:50Z","timestamp":1649412410000},"page":"3043-3051","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Comparison of the decompressive effect of different surgical procedures for dysthyroid optic neuropathy using 3D printed models"],"prefix":"10.1007","volume":"260","author":[{"given":"Kinga","family":"Yo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiro","family":"Nishimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoyuki","family":"Hatayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuro","family":"Hoshino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munekazu","family":"Naito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Ogawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Fujimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"key":"5645_CR1","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1056\/NEJMcp0806317","volume":"360","author":"L Bartalena","year":"2009","unstructured":"Bartalena L, Tanda ML (2009) Graves\u2019 ophthalmopathy. 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The waiver was granted because the study was a retrospective chart review, not an interventional study and because it was difficult to obtain consent from patients who had been treated several years previously. Nevertheless, we provided an opportunity for patients to opt-out by publishing an outline of the study plan on the Aichi Medical University Hospital website, but none of the patients did so. Personal identifiers were removed from all records before data analysis.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}