Biometric and refractive changes after orbital decompression in Korean patients with thyroid-associated orbitopathy

Kim, W S; Chun, Yeoun Sook; Cho, B Y; Lee, Jeong Kyu

doi:10.1038/eye.2015.242

Cited by 14 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study reported that patients with GO who underwent orbital decompression showed myopic refractive change through increase in AL and they added possible refractive changes should be considered in cases of GO complaining of decreased visual acuity after orbital decompression. [11] The previous studies have reported that ocular blood flow was increased in patients with GO. Various techniques including Doppler imaging, ocular blood flow tonography, and oculo-dynamometry can ensure more reliable ocular blood flow measurements.…”

Section: Discussionmentioning

confidence: 95%

The Impact of Graves’ Ophthalmopathy on Anterior and Posterior Ocular Structures: Ocular Imaging Based Study

Kanar¹

2021

South Clin Ist Euras

View full text Add to dashboard Cite

The aim of our study was to evaluate the anterior and posterior ocular parameters in patients with Graves' ophthalmopathy (GO) compared to control.Methods: Sixty-eight patients with GO and 40 healthy controls were included in the study. The patients with GO were divided into two groups according to their clinical activity score (CAS). Patients with ≥3/7 CAS points were entitled as active GO and CAS points less than 3/7 were entitled as inactive GO. Spherical refractive error (SRE), astigmatic refractive error (ARE), central corneal thickness, intraocular pressure, and axial length (AL) were recorded. The subfoveal choroidal thickness (SFCT) and global and sectorial peripapillary retinal nerve fiber layer thickness (pRNFLT) were measured by spectral domain-optical coherence tomography. Results:The patients with active GO had significantly higher myopic SRE and ARE compared to patients with inactive GO and healthy controls (p=0.040 and 0.030, respectively). The mean AL was statistically significant taller in both GO groups than control (p=0.048) but there were no significant differences in AL between the patients with active GO and inactive GO. Patients with active GO and inactive GO had significantly higher SFCT than controls (p≤0.001). Furthermore, patients with active GO had significantly thinner global pRNFLT, superior pRNFLT, inferior pRNFLT, and temporal pRNFLT than patients with inactive GO and active GO. The patients with inactive GO had only thinner inferior pRNFLT compared to healthy controls. Conclusion:The patients with GO had significant alterations in refractive status, SFCT, and pRNFLT, especially patients with active GO. These parameters might be potential adjuncts in the evaluation of GO patients and preventing ocular serious complications.

show abstract

Section: Discussionmentioning

confidence: 95%

The Impact of Graves’ Ophthalmopathy on Anterior and Posterior Ocular Structures: Ocular Imaging Based Study

Kanar¹

2021

South Clin Ist Euras

View full text Add to dashboard Cite

show abstract

“…19 These findings were corroborated by Kim et al who found that axial length (AL) significantly increased after orbital decompression surgery (change in AL = 0.08mm p < 0.001). 20 We hypothesize that the fluctuating volume status of the orbit in TED is a reason for the increased risk of unexpected refractive prediction error in patients with TED. Although TED is thought to classically manifest with an active inflammatory phase, followed by a plateau and an inactive phase, there have been several reports in the literature that might suggest TED flares associated with cataract surgery.…”

Section: Discussionmentioning

confidence: 98%

“… 19 These findings were corroborated by Kim et al who found that axial length (AL) significantly increased after orbital decompression surgery (change in AL = 0.08mm p < 0.001). 20 …”

Section: Discussionmentioning

confidence: 99%

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

Caldwell¹,

Patnaik²,

Ackerman³

et al. 2021

OPTH

View full text Add to dashboard Cite

“…The surgical treatment of severe GO known as orbital decompression reduces venous congestion and leads to a decrease in eyelid edema and chemosis, ultimately resulting in significant changes in the corneal curvature and refractive values. 24 …”

Section: Discussionmentioning

confidence: 99%

“Influence of Clinically Active Graves’ Ophthalmopathy on Spherical Equivalent and Visual Acuity”

Jurcevic¹,

Jurčević²,

Jagic³

et al. 2022

OPTH

View full text Add to dashboard Cite

Purpose Clinical experience regarding the fluctuations of the refractive error of the eye during the different stages of Graves’ ophthalmopathy observed through outpatient clinic frequent check-ups points towards an underestimated and often overlooked problem. Published data about it are sparse. The clinical manifestations of Graves’ ophthalmopathy can be understood from the perspective of “compartment syndrome” and literature implies how such changes can affect the refractive error and consequently, the visual acuity. The purpose of the study was to explore how the clinical activity score of Graves’ ophthalmopathy affects refractive error and visual acuity. Patients and Methods The study was prospective and observational, including 60 eyes of 30 patients with clinically active Graves’ ophthalmopathy. All the patients were monitored and evaluated over a period of 36 months by the clinical activity score, spherical equivalent and visual acuity. All the observed parameters were statistically analyzed. Results The mean values of spherical equivalent and visual acuity throughout the observed period showed continuous fluctuation. Repeated measure analysis of variance showed statistically significant differences in visual acuity and spherical equivalent over the observed period. There was a statistically significant positive correlation between visual acuity and clinical activity score. The correlation between spherical equivalent and clinical activity score was also positive but not statistically significant. Conclusion A decrease in the clinical activity score is either the result of a spontaneously resolving course of Graves’ ophthalmopathy or a consequence of treatment, so lowering in fluctuation of refractive error and improved visual acuity may be associated with a reduction in orbital inflammation.

show abstract

Biometric and refractive changes after orbital decompression in Korean patients with thyroid-associated orbitopathy

Cited by 14 publications

References 21 publications

The Impact of Graves’ Ophthalmopathy on Anterior and Posterior Ocular Structures: Ocular Imaging Based Study

The Impact of Graves’ Ophthalmopathy on Anterior and Posterior Ocular Structures: Ocular Imaging Based Study

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

“Influence of Clinically Active Graves’ Ophthalmopathy on Spherical Equivalent and Visual Acuity”

Contact Info

Product

Resources

About