Parameters predicting outcomes of strabismus surgery in the management of Graves' ophthalmopathy

Nassar, Mahmoud; Dickinson, A J; Neoh, C; Powell, Christine; Buck, Deborah; Galal, Ezzeldin; Clarke, Michael

doi:10.1016/j.jaapos.2008.11.007

Cited by 29 publications

(50 citation statements)

References 18 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The eye signs correlated only modestly with calsequestrin and collagen XIII antibodies. In contrast to patients with Graves' disease, where cigarette smoking is shown to be a major risk factor for ophthalmopathy (27)(28)(29), there was no relationship between smoking status and eye abnormalities in patients with Hashimoto's thyroiditis, as studied here.…”

Section: Discussioncontrasting

confidence: 91%

Eye and Eyelid Abnormalities Are Common in Patients with Hashimoto's Thyroiditis

Tjiang

Lahooti²,

McCorquodale³

et al. 2010

Thyroid

View full text Add to dashboard Cite

Eye changes, in particular UER, are common in patients with Hashimoto's thyroiditis. Since thyroid stimulating hormone-receptor antibodies are not usually associated with Hashimoto's thyroiditis, autoimmune mediated damage of the levator palpebrae superioris (eyelid) muscle cannot be due to these antibodies. Although eyelid abnormalities may be a minor problem for most patients, for some there are major cosmetic implications requiring surgical management.

show abstract

Section: Discussioncontrasting

confidence: 91%

Eye and Eyelid Abnormalities Are Common in Patients with Hashimoto's Thyroiditis

Tjiang

Lahooti²,

McCorquodale³

et al. 2010

Thyroid

View full text Add to dashboard Cite

show abstract

“…More recently, Nassar et al (2009) 16 retrospectively described the outcomes of strabismus surgery in 50 patients with Graves' orbitopathy. They found symmetry of orbitopathy at onset and earlier timing of surgery to be associated with good postoperative outcome.…”

Section: Discussionmentioning

confidence: 99%

Recession of the inferior rectus muscle in Graves’ orbitopathy

Hoog

Stravers

Kalmann

2009

Eye

View full text Add to dashboard Cite

show abstract

“…1, 11, 12 Diplopia criteria have been used less frequently and are more poorly standardized than motor criteria. In previous studies, diplopia success has been variously described in terms of complete resolution, 13 a specified size of the field of binocular single vision, 14, 15 or a minimal frequency on a patient-rated diplopia questionnaire. 3 Nevertheless, there are few studies reporting strabismus surgery outcomes in terms of changes in HRQOL.…”

Section: Discussionmentioning

confidence: 99%

Incorporating Health-related Quality of Life Into the Assessment of Outcome Following Strabismus Surgery

Hatt

Liebermann

Holmes

2016

American Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose To evaluate changes in health-related quality of life (HRQOL) in adult strabismus patients classified as surgical failures by standard motor and diplopia criteria. Design Prospective cohort study evaluating outcomes Methods Adults undergoing strabismus surgery in a single clinical practice, with preoperative and 1-year postoperative Adult Strabismus-20 HRQOL questionnaires were included. Motor and diplopia criteria were applied to classify outcomes (success, partial success, or failure). For those classified failure, the medical record of the 1-year examination was reviewed to determine whether the patient reported subjective improvement. We evaluated improvement in HRQOL, defined as exceeding 95% limits of agreement on at least one of the four Adult Strabismus-20 domains. We compared proportions exceeding 95% limits of agreement in those reporting subjective improvement versus those who did not. Results 40 (18%) of 227 patients were classified as failure by motor and diplopia criteria, with 39 of 40 able to exceed Adult Strabismus-20 95% limits of agreement. Overall, 21 (54%) of 39 showed improved HRQOL by exceeding 95% limits of agreement on at least one of the four Adult Strabismus-20 domains (54% vs predicted 10% by chance alone; P<0.0001). 25 (64%) reported subjective improvement, of whom 16 (64%) showed improved HRQOL exceeding 95% limits of agreement.. Conclusions Many apparent surgical failures report subjective improvement, often reflected in improved HRQOL scores. We propose incorporating quantitative HRQOL criteria into the assessment of strabismus surgery outcomes, defining success as either meeting motor and diplopia criteria, or showing improvement in HRQOL beyond test-retest variability.

show abstract

Parameters predicting outcomes of strabismus surgery in the management of Graves' ophthalmopathy

Cited by 29 publications

References 18 publications

Eye and Eyelid Abnormalities Are Common in Patients with Hashimoto's Thyroiditis

Eye and Eyelid Abnormalities Are Common in Patients with Hashimoto's Thyroiditis

Recession of the inferior rectus muscle in Graves’ orbitopathy

Incorporating Health-related Quality of Life Into the Assessment of Outcome Following Strabismus Surgery

Contact Info

Product

Resources

About