Refractive change in thyroid eye disease (a neglected clinical sign)

被引:15
作者
Chandrasekaran, S
Petsoglou, C
Billson, FA
Selva, D
Ghabrial, R
机构
[1] Sydney Eye Hosp, Sydney, NSW, Australia
[2] Univ Sydney, Save Sight Inst, Dept Ophthalmol & Eye Hlth, Sydney, NSW 2006, Australia
[3] Univ Adelaide, Dept Ophthalmol & Visual Sci, Adelaide, SA, Australia
关键词
D O I
10.1136/bjo.2005.078295
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background/aims: The literature on refractive change in thyroid eye disease (TED) is limited. This study documents the refractive change in patients with TED undergoing orbital decompression. The authors propose possible mechanisms for their acquired refractive error. Methods: This is a retrospective observational case study of five patients with progressive TED. Their detailed eye examinations including refractive state preoperatively and postoperatively are presented. Results: An acquired hypermetropic shift with active TED before orbital decompression of up to 3.75D spherical equivalent refraction (SER) is reported in one patient. Postorbital decompression, an induced myopic shift of between 1.00-2.50D SER for all patients is observed, noted to range from 1 day following surgery to up to 9 months, dependent on the availability of data. Axial length increased in two cases corresponding to postoperative myopic shift. Magnetic resonance imaging findings of one patient demonstrate flattening of the posterior pole as a cause of the acquired preoperative hypermetropia. Conclusions: TED has a significant effect on the refractive state of patients. The proposed mechanism of acquired hypermetropia relates to increased volume of orbital contents with flattening of the posterior globe. This is reversed with successful orbital decompression. Documentation of refractive error in all cases of progressive TED is recommended. Progressive acquired hypermetropia may be suggestive of TED activity.
引用
收藏
页码:307 / 309
页数:3
相关论文
共 15 条
[1]   Ophthalmological evaluation in thyroid-associated ophthalmopathy [J].
Åsman, P .
ACTA OPHTHALMOLOGICA SCANDINAVICA, 2003, 81 (05) :437-448
[2]   GRAVES OPHTHALMOPATHY - CURRENT CONCEPTS REGARDING PATHOGENESIS AND MANAGEMENT [J].
BURCH, HB ;
WARTOFSKY, L .
ENDOCRINE REVIEWS, 1993, 14 (06) :747-793
[3]  
DAILEY RA, 1986, OPHTHALMOLOGY, V93, P336
[4]  
DHERMIES F, 1993, J FR OPHTALMOL, V16, P195
[5]   CHOROIDAL FOLDS AND REFRACTIVE ERRORS ASSOCIATED WITH ORBITAL TUMORS - AN ANALYSIS [J].
FRIBERG, TR ;
GROVE, AS .
ARCHIVES OF OPHTHALMOLOGY, 1983, 101 (04) :598-603
[6]   CAVERNOUS HEMANGIOMA OF THE ORBIT [J].
HARRIS, GJ ;
JAKOBIEC, FA .
JOURNAL OF NEUROSURGERY, 1979, 51 (02) :219-228
[7]   ANOMALY OF REFRACTION (MYOPIA) IN GRAVES OPHTHALMOPATHY [J].
HUISMANS, H .
KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 1991, 198 (03) :215-216
[8]  
JACOBSON DM, 1995, J NEURO-OPHTHALMOL, V15, P178
[9]   POORLY DIFFERENTIATED PRIMARY ORBITAL SARCOMA (PRESUMED MALIGNANT RHABDOID TUMOR) - RADIOLOGIC AND HISTOPATHOLOGIC CORRELATION [J].
JOHNSON, LN ;
SEXTON, FM ;
GOLDBERG, SH .
ARCHIVES OF OPHTHALMOLOGY, 1991, 109 (09) :1275-1278
[10]  
KALINA RE, 1980, OPHTHALMOLOGY, V87, P44