{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:44:27Z","timestamp":1790815467594,"version":"4.1.0"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T00:00:00Z","timestamp":1619568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T00:00:00Z","timestamp":1619568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Natural Key Research and Development Program of China","award":["2016YFC1101200"],"award-info":[{"award-number":["2016YFC1101200"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eye and Vis"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To describe the surgical technique and assess the clinical efficacy and safety of modified endoscopic transnasal orbital apex decompression in the treatment of dysthyroid optic neuropathy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective research, forty-two subjects (74 orbits) who underwent modified endoscopic transnasal orbital apex decompression for the treatment of dysthyroid optic neuropathy were enrolled. Preoperative and postoperative best-corrected visual acuity (BCVA), visual field mean deviation (MD), Hertel exophthalmometry, and new onset diplopia were assessed before and after the intervention. The Wilcoxon test was used for differential analysis. Linear mixed-models\u2019 analyses were conducted to assess the potential predictors for BCVA change.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Postoperatively, the mean BCVA improved from 0.70\u2009\u00b1\u20090.62 logMAR to 0.22\u2009\u00b1\u20090.33 logMAR. BCVA significantly improved in 69 eyes (93%), remained stable in 4 eyes (5%) and deteriorated in 1 eye (1%). MD of visual fields improved from \u221213.73\u2009\u00b1\u20099.22\u2009dB to \u22127.23\u2009\u00b1\u20097.04\u2009dB. Proptosis decreased from 19.57\u2009\u00b1\u20093.38\u2009mm to 16.35\u2009\u00b1\u20093.01\u2009mm. Preoperative BCVA, MD of visual fields and medical rectus diameter were independent factors associated with improvements in BCVA (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05) by linear mixed-models\u2019 analyses. Eighteen patients (42.9%) developed new diplopia postoperatively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Modified endoscopic transnasal orbital apex decompression effectively restores vision in dysthyroid optic neuropathy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40662-021-00238-2","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T06:03:03Z","timestamp":1619589783000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Modified endoscopic transnasal orbital apex decompression in dysthyroid optic neuropathy"],"prefix":"10.1186","volume":"8","author":[{"given":"Yunhai","family":"Tu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingna","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy D.","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T. 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