Investigation of Ocular Changes in Patients with Thyroid Disease

BACKGROUND AND OBJECTIVE: Ocular thyroid disease is a common complication associated with Graves' disease and hyperthyroidism, which in severe cases there is a risk of irreversible loss of vision. The aim of this study was to compare the visual acuity, refractive errors, proptosis and ocular de...

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Autores principales: S Rahmani, H Azizi, A Akbarzadeh Baghban, H Kangari, M Ghassemi Broumand
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Publicado: Babol University of Medical Sciences 2020
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spelling oai:doaj.org-article:0a66e54a1bac4cef8bc34bdf40f979642021-11-09T10:15:54ZInvestigation of Ocular Changes in Patients with Thyroid Disease1561-41072251-7170https://doaj.org/article/0a66e54a1bac4cef8bc34bdf40f979642020-03-01T00:00:00Zhttp://jbums.org/article-1-9053-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Ocular thyroid disease is a common complication associated with Graves' disease and hyperthyroidism, which in severe cases there is a risk of irreversible loss of vision. The aim of this study was to compare the visual acuity, refractive errors, proptosis and ocular deviation of these patients with healthy individuals. METHODS: In this historical cohort study, 65 patients with history of thyroid disease were compared with 65 healthy subjects. Patients in the age range of 24 to 60 years with a history of thyroid disease and healthy individuals were selected from those who referred to the eye clinic who did not have thyroid disease. The proptosis of the eyes was measured with Hertel exophthalmometer. Visual acuity of the patients was measured with Snellen chart and refractive error measurement was done with an auto-refractometer. FINDINGS: Of the patients, 53 (81.5%) were males and 12 (18.5%) were females. Sphere refractive error in patients and healthy individuals was -0.85±2.44 diopters and -0.46±1.26 diopters, respectively. The mean visual acuity in the patient and healthy groups was 0.91±0.13 and 0.96±0.08 in Snellen unit (p≤0.0001), respectively. The mean proptosis in patient and healthy individuals was 17.7±2.55 mm and 16.05±1.86 mm (p≤0.0001), respectively. The mean of total eye astigmatism in patient and healthy individuals was -1.11±1.19 diopters and -0.6±0.66 diopters, respectively (p≤0.0001). CONCLUSION: Higher astigmatism and proptosis and decreased visual acuity in the patients, indicating thyroid disease has affected on the involved eye.S RahmaniH AziziA Akbarzadeh BaghbanH KangariM Ghassemi BroumandBabol University of Medical Sciencesarticlethyroid diseaserefractive errorsvisual acuity.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 22, Iss 1, Pp 169-174 (2020)
institution DOAJ
collection DOAJ
language EN
FA
topic thyroid disease
refractive errors
visual acuity.
Medicine
R
Medicine (General)
R5-920
spellingShingle thyroid disease
refractive errors
visual acuity.
Medicine
R
Medicine (General)
R5-920
S Rahmani
H Azizi
A Akbarzadeh Baghban
H Kangari
M Ghassemi Broumand
Investigation of Ocular Changes in Patients with Thyroid Disease
description BACKGROUND AND OBJECTIVE: Ocular thyroid disease is a common complication associated with Graves' disease and hyperthyroidism, which in severe cases there is a risk of irreversible loss of vision. The aim of this study was to compare the visual acuity, refractive errors, proptosis and ocular deviation of these patients with healthy individuals. METHODS: In this historical cohort study, 65 patients with history of thyroid disease were compared with 65 healthy subjects. Patients in the age range of 24 to 60 years with a history of thyroid disease and healthy individuals were selected from those who referred to the eye clinic who did not have thyroid disease. The proptosis of the eyes was measured with Hertel exophthalmometer. Visual acuity of the patients was measured with Snellen chart and refractive error measurement was done with an auto-refractometer. FINDINGS: Of the patients, 53 (81.5%) were males and 12 (18.5%) were females. Sphere refractive error in patients and healthy individuals was -0.85±2.44 diopters and -0.46±1.26 diopters, respectively. The mean visual acuity in the patient and healthy groups was 0.91±0.13 and 0.96±0.08 in Snellen unit (p≤0.0001), respectively. The mean proptosis in patient and healthy individuals was 17.7±2.55 mm and 16.05±1.86 mm (p≤0.0001), respectively. The mean of total eye astigmatism in patient and healthy individuals was -1.11±1.19 diopters and -0.6±0.66 diopters, respectively (p≤0.0001). CONCLUSION: Higher astigmatism and proptosis and decreased visual acuity in the patients, indicating thyroid disease has affected on the involved eye.
format article
author S Rahmani
H Azizi
A Akbarzadeh Baghban
H Kangari
M Ghassemi Broumand
author_facet S Rahmani
H Azizi
A Akbarzadeh Baghban
H Kangari
M Ghassemi Broumand
author_sort S Rahmani
title Investigation of Ocular Changes in Patients with Thyroid Disease
title_short Investigation of Ocular Changes in Patients with Thyroid Disease
title_full Investigation of Ocular Changes in Patients with Thyroid Disease
title_fullStr Investigation of Ocular Changes in Patients with Thyroid Disease
title_full_unstemmed Investigation of Ocular Changes in Patients with Thyroid Disease
title_sort investigation of ocular changes in patients with thyroid disease
publisher Babol University of Medical Sciences
publishDate 2020
url https://doaj.org/article/0a66e54a1bac4cef8bc34bdf40f97964
work_keys_str_mv AT srahmani investigationofocularchangesinpatientswiththyroiddisease
AT hazizi investigationofocularchangesinpatientswiththyroiddisease
AT aakbarzadehbaghban investigationofocularchangesinpatientswiththyroiddisease
AT hkangari investigationofocularchangesinpatientswiththyroiddisease
AT mghassemibroumand investigationofocularchangesinpatientswiththyroiddisease
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