Thyroid eye disease: Honing your skills to improve outcomes

Dagi, Linda R.; Elliott, Alexandra T.; Roper-Hall, Gill; Cruz, Oscar A.

doi:10.1016/j.jaapos.2010.07.005

Cited by 34 publications

(14 citation statements)

References 53 publications

(65 reference statements)

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“…1 Although corticosteroids and radiation therapy have a role in the management of thyroid-related orbitopathy in the inflammatory phase, orbital decompression remains the mainstay of therapy in cases with optic neuropathy refractory to steroids, exposure keratopathy, and in improving cosmesis in the postinflammatory phase of the disease. 2 Various techniques for orbital decompression have been described in the literature.…”

mentioning

confidence: 99%

Effect of Orbital Decompression on Diplopia in Thyroid-Related Orbitopathy

Mainville

Jordan

2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Review of the charts of patients who underwent orbital decompression surgery for thyroid-related orbitopathy revealed a preoperative prevalence of diplopia of 26% and a postoperative prevalence of 40.7%. Amongst the patients with preoperative diplopia (n = 32), 28.1% (n = 9) had complete resolution of their diplopia after decompression, while 65.6% (n = 21) remained stable and 6.3% (n = 2) worsened. The incidence of new-onset diplopia was 29.7% in this case series of orbital decompression using a transcaruncular and swinging eyelid approach for medial wall and strut-sparing floor decompression. Rates of new-onset diplopia were significantly higher when periorbita was opened (40.0%, n = 82) compared with when it was left intact (11.8%, n = 37) CONCLUSIONS:: It has previously been reported in the literature that orbital decompression for thyroid-related orbitopathy can cause diplopia in a significant number of cases. This provides the rational for performing orbital decompression prior to strabismus surgery in the management of thyroid-related orbitopathy. In this case series, the authors noted resolution of diplopia in a significant proportion (28.1%) of patients with preexisting diplopia. This is rarely commented on in other articles but is important in the preoperative discussion. An incidence of new-onset diplopia of 29.7% was identified. Opening the periorbita was associated with an increased incidence of new-onset diplopia.

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confidence: 99%

Effect of Orbital Decompression on Diplopia in Thyroid-Related Orbitopathy

Mainville

Jordan

2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Although a full field of binocular single vision (BSV) in patients with GO is difficult to obtain due to the incomitant type of strabismus typical for patients with GO, the goal of surgery is to reach a field of BSV as large as possible (Schotthoefer & Wallace ; Dickinson & Perros ; Dagi et al. ; Eckstein et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…However, when the disease and the motility pattern have become stable, there is consensus to treat residual diplopia surgically (Prummel et al 2003;Bartalena et al 2008;Nardi 2009;Lyons & Rootman 2010). Although a full field of binocular single vision (BSV) in patients with GO is difficult to obtain due to the incomitant type of strabismus typical for patients with GO, the goal of surgery is to reach a field of BSV as large as possible (Schotthoefer & Wallace 2007;Dickinson & Perros 2009;Dagi et al 2010;Eckstein et al 2012). There are many possible choices to reach this goal: recessions of the involved muscle with or without adjustable sutures (Flanders & Hastings 1997;Eckstein et al 2004;Mocan et al 2007;Jellema et al 2012;Volpe et al 2013), resection (Yoo et al 2013), Faden procedures (Schittkowski et al 2004) or interposition of spacers to lengthen the affected extra-ocular muscle (Esser et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Proposal of success criteria for strabismus surgery in patients with Graves' orbitopathy based on a systematic literature review

Jellema

Braaksma-Besselink

Limpens

et al. 2015

Acta Ophthalmologica

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ABSTRACT.Proposal of success criteria for strabismus surgery for patients with Graves' orbitopathy (GO) based on a systematic review of the literature. We performed a systematic search of OVID MEDLINE, OVID Embase, the Cochrane Central Register of Controlled Trials (CENTRAL) and the publisher subset of PubMed, to identify studies reporting on success criteria of strabismus surgery in GO. In addition, we handsearched several orthoptic journals and proceedings of strabismological congresses. Of the 789 articles retrieved, 42 articles described success criteria for strabismus surgery in GO. Most studies defined success in terms of a subjective diplopia-free field in primary and down gaze. Almost half of the studies used a graded scale (excellent, good, acceptable and failure) to describe the outcome of surgery. Three of the eligible studies described a tool to quantify the field of single vision in detail. Quality of life was not reported as an outcome measure in any of the published studies. In conclusion, success criteria for strabismus surgery in patients with GO are poorly defined and no consensus is available. The lack of standardization hampers comparative studies and thus the search for the best surgical treatment for diplopia in patients with GO. Therefore, we propose strict success criteria including a tool for quantification of remaining diplopia plus a disease-specific quality of life questionnaire (the GO-QoL).

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“…We paved the way for review articles with publication of our first AAPOS Workshop in December of 2009. 1 We have now published 6 well-received workshops, [2][3][4][5][6] and in this issue we add the workshop on myopia interventions by Leo and Young. 7 Workshops are not reviews however.…”

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confidence: 99%

Case reports, reviews, and changes to the Journal of AAPOS

Hunter¹

2011

Journal of American Association for Pediatric Ophthalmology and

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Thyroid eye disease: Honing your skills to improve outcomes

Cited by 34 publications

References 53 publications

Effect of Orbital Decompression on Diplopia in Thyroid-Related Orbitopathy

Effect of Orbital Decompression on Diplopia in Thyroid-Related Orbitopathy

Proposal of success criteria for strabismus surgery in patients with Graves' orbitopathy based on a systematic literature review

Case reports, reviews, and changes to the Journal of AAPOS

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