Post-treatment Recovery in Orbital Arteriovenous Fistulas: A Systematic Review
Author Information
Author(s): Muacevic Alexander, Adler John R, Badran Saif A, Mohammad Qasim Aous, Ayad Saeed Bashar, Thakir Ismail Mohammed, Ali Taher Mohammed, Al-Juboori Ahmed A
Primary Institution: Department of Surgery, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, IRQ
Hypothesis
This systematic review aims to evaluate the post-treatment recovery of patients with orbital AVFs, focusing on the long-term outcomes and quality of life following various therapeutic interventions.
Conclusion
Transvenous embolization is the preferred treatment method for orbital AVFs, although conservative management might also be sufficient in selected cases.
Supporting Evidence
- Transvenous embolization was the treatment with the highest success and low complication rates.
- Conservative treatment resulted in the disappearance of some fistulas.
- Surgical and endovascular therapies were also combined for complex AVFs.
- Most patients experienced significant reductions in proptosis and chemosis.
- Visual acuity improvements were commonly reported.
Takeaway
Doctors looked at many studies to see how well people recover after treatment for a rare eye problem called orbital arteriovenous fistulas. They found that a special procedure called transvenous embolization works best.
Methodology
A systematic review was conducted using PubMed and Scopus with no date restrictions, screening studies based on predefined criteria and extracting data on presentation, treatment, and outcomes.
Potential Biases
There was significant variability in follow-up durations, with some studies providing only short-term outcome data.
Limitations
Many of the included studies were case reports or small case series, which limited the generalizability of the findings.
Participant Demographics
The studies included both traumatic and spontaneous cases of orbital AVFs, reflecting the diverse nature of this condition.
Digital Object Identifier (DOI)
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