A multidisciplinary group of experts representing their specialty organizations was selected. A systematic literature review was performed including topics regarding documentation of the underlying cause for visual field impairment, selection of an appropriate surgical repair, assessment of the type of anesthesia, the use of adjunctive brow procedures, and follow-up assessments. The Grading of Recommendations, Assessment, Development, and Evaluation methodology process was used to evaluate the relevant studies. Clinical practice recommendations were developed using BRIDGE-Wiz (Building Recommendations In a Developers\' Guideline Editor) software.
Each topic area was assessed. A clinical recommendation was made, and the relevant literature was discussed.
The review of the literature revealed varied complication rates and diverse treatment modalities for the correction of upper visual field deficit. Strong recommendations could not be made in most topic areas because of a paucity of methodologically sound studies in the literature. More rigorously designed studies are needed to measure outcomes of interest, with fewer sources of potential error or bias.
Therapeutic, V.
选择了代表其专业组织的多学科专家组。进行了系统的文献综述,包括有关视野损害的根本原因的文献,选择适当的手术修复,麻醉类型的评估,使用辅助眉毛程序,和后续评估。建议的分级,评估,发展,采用评价方法流程对相关研究进行评价。使用BRIDGE-Wiz(在开发人员指南编辑器中构建建议)软件制定临床实践建议。
评估每个主题领域。提出了临床建议,并对相关文献进行了讨论。
文献综述显示,上视野缺损矫正的并发症发生率和治疗方式各不相同。由于文献中缺乏方法合理的研究,因此在大多数主题领域都无法提出强有力的建议。需要更严格设计的研究来衡量感兴趣的结果,潜在误差或偏差的来源较少。
治疗,V.