Clinical Orbitonometry in Graves' Disease*

Kearns, Thomas P.; Henderson, J. Gordon; Haines, Samuel F.

doi:10.1016/0002-9394(53)91507-4

Cited by 17 publications

(3 citation statements)

References 25 publications

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“…However, of all the parameters that were significantly different, the highest diagnostic yield for TED was from MOD. This is consistent with previous studies with contact orbitonometry revealing significantly lower retropulsion under the same force for a patient with TED compared with a healthy participant 3 11…”

Section: Discussionsupporting

confidence: 93%

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In vivo ocular biomechanical compliance in thyroid eye disease

et al. 2016

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Section: Discussionsupporting

confidence: 93%

“…Previously, contact methods (orbitonometry) have been used to demonstrate a reduction in orbital compliance in patients with TED 3 11. However, to the best of our knowledge, the in vivo assessment of orbital compliance in TED using an air pulse has not been previously investigated.…”

Section: Discussionmentioning

confidence: 99%

In vivo ocular biomechanical compliance in thyroid eye disease

et al. 2016

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“…In this setting, the amount of force was pre-given while the extent of retropulsion was the independent variable. In the following years, a number of reports on the clinical application of Copper’s orbitotonometer for monitoring thyroid eye disease and orbital tumors were published by various investigators [ 35 , 36 , 37 , 38 ]. In 1968, Elsby described a device for measuring orbital compliance, which appeared to be, however, very similar to Copper’s orbitotonometer [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

Assessment of Orbital Compartment Pressure: A Comprehensive Review

Enz

Tschopp

2022

Diagnostics

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The orbit is a closed compartment defined by the orbital bones and the orbital septum. Some diseases of the orbit and the optic nerve are associated with an increased orbital compartment pressure (OCP), e.g., retrobulbar hemorrhage or thyroid eye disease. Our aim was to review the literature on the different approaches to assess OCP. Historically, an assessment of the tissue resistance provoked by the retropulsion of the eye bulb was the method of choice for estimating OCP, either by digital palpation or with specifically designed devices. We found a total of 20 articles reporting direct OCP measurement in animals, cadavers and humans. In nine studies, OCP was directly measured in humans, of which five used a minimally invasive approach. Two groups used experimental/custom devices, whilst the others applied commercially available devices commonly used for monitoring the compartment syndromes of the limbs. None of the nine articles on direct OCP measurements in humans reported complications. Today, OCP is mainly estimated using clinical findings considered surrogates, e.g., elevated intraocular pressure or proptosis. These diagnostic markers appear to reliably indicate elevated OCP. However, particularly minimally invasive approaches show promises for direct OCP measurements. In the future, more sophisticated, specifically designed equipment might allow for even better and safer measurements and hence facilitate the diagnosis and monitoring of orbital diseases.

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The Orbit

DeVoe¹

1953

AMA Arch Ophthalmol

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Clinical Orbitonometry in Graves' Disease*

Cited by 17 publications

References 25 publications

In vivo ocular biomechanical compliance in thyroid eye disease

In vivo ocular biomechanical compliance in thyroid eye disease

Assessment of Orbital Compartment Pressure: A Comprehensive Review

The Orbit

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