Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy

Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy

Jae Hoon Jeong,1 Jeong Kyu Lee,1,2 Dong Ik Lee,1 Yeoun Sook Chun,1 Bo Youn Cho2 1Department of Ophthalmology, College of Medicine, Chung-Ang University 2Thyroid Center, Chung-Ang University Hospital, Seoul, Korea Objective: To report the physiological monitoring of intraocular pressure (I...

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Autores principales: Jeong JH, Lee JK, Lee DI, Chun YS, Cho BY
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Graves ophthalmopathy
Intraocular pressure
Myopia
Physiologic monitoring
Postoperative periods
Surgical decompression
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/5073e4f6b8764c76a6e43a19501405f6
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spelling oai:doaj.org-article:5073e4f6b8764c76a6e43a19501405f62021-12-02T08:37:58ZClinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy1177-5483https://doaj.org/article/5073e4f6b8764c76a6e43a19501405f62016-01-01T00:00:00Zhttps://www.dovepress.com/clinical-factors-affecting-intraocular-pressure-change-after-orbital-d-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jae Hoon Jeong,1 Jeong Kyu Lee,1,2 Dong Ik Lee,1 Yeoun Sook Chun,1 Bo Youn Cho2 1Department of Ophthalmology, College of Medicine, Chung-Ang University 2Thyroid Center, Chung-Ang University Hospital, Seoul, Korea Objective: To report the physiological monitoring of intraocular pressure (IOP) during the postoperative periods after orbital decompression surgery and ascertain the correlation between the clinical factors and IOP changes.Methods: The medical records of 113 orbits from 60 patients who underwent orbital decompression surgery were reviewed retrospectively. IOP measurement during the postoperative periods was classified based on the postoperative day: week 1 (1–7 days), month 1 (8–41 days), month 2 (42–70 days), month 3 (71–97 days), month 4 (98–126 days), and final (after 127 days). The mean postoperative follow-up was 286.5 days for orbits with at least 6 months of follow-up. Univariate and multivariate linear regression analyses were performed to assess the correlation between the IOP reduction percentage and clinical factors.Results: The mean IOP increased from 16.9 to 18.6 mmHg (10.1%) at postoperative week 1 and decreased to 14.4 mmHg (14.5%) after 2 months. Minimal little changes were observed postoperatively in the IOP after 2 months. Preoperative IOP had a significant positive effect on the reduction percentage both at postoperative week 1 (β=2.51, P=0.001) and after 2 months (β=1.07, P=0.029), and the spherical equivalent showed a positive correlation with the reduction level at postoperative week 1 (β=1.71, P=0.021).Conclusion: Surgical decompression caused a significant reduction in the IOP in thyroid-associated orbitopathy, and the amount of reduction was closely related to preoperative IOP; however, it may also cause a transient elevation in the IOP during the early postoperative phase in highly myopic eyes. Keywords: Graves’ ophthalmopathy, intraocular pressure, myopia, physiologic monitoring, postoperative periods, surgical decompressionJeong JHLee JKLee DIChun YSCho BYDove Medical PressarticleGraves ophthalmopathyIntraocular pressureMyopiaPhysiologic monitoringPostoperative periodsSurgical decompressionOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 145-150 (2016)
institution DOAJ
collection DOAJ
language EN
topic Graves ophthalmopathy
Intraocular pressure
Myopia
Physiologic monitoring
Postoperative periods
Surgical decompression
Ophthalmology
RE1-994
spellingShingle Graves ophthalmopathy
Intraocular pressure
Myopia
Physiologic monitoring
Postoperative periods
Surgical decompression
Ophthalmology
RE1-994
Jeong JH
Lee JK
Lee DI
Chun YS
Cho BY
Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
description Jae Hoon Jeong,1 Jeong Kyu Lee,1,2 Dong Ik Lee,1 Yeoun Sook Chun,1 Bo Youn Cho2 1Department of Ophthalmology, College of Medicine, Chung-Ang University 2Thyroid Center, Chung-Ang University Hospital, Seoul, Korea Objective: To report the physiological monitoring of intraocular pressure (IOP) during the postoperative periods after orbital decompression surgery and ascertain the correlation between the clinical factors and IOP changes.Methods: The medical records of 113 orbits from 60 patients who underwent orbital decompression surgery were reviewed retrospectively. IOP measurement during the postoperative periods was classified based on the postoperative day: week 1 (1–7 days), month 1 (8–41 days), month 2 (42–70 days), month 3 (71–97 days), month 4 (98–126 days), and final (after 127 days). The mean postoperative follow-up was 286.5 days for orbits with at least 6 months of follow-up. Univariate and multivariate linear regression analyses were performed to assess the correlation between the IOP reduction percentage and clinical factors.Results: The mean IOP increased from 16.9 to 18.6 mmHg (10.1%) at postoperative week 1 and decreased to 14.4 mmHg (14.5%) after 2 months. Minimal little changes were observed postoperatively in the IOP after 2 months. Preoperative IOP had a significant positive effect on the reduction percentage both at postoperative week 1 (β=2.51, P=0.001) and after 2 months (β=1.07, P=0.029), and the spherical equivalent showed a positive correlation with the reduction level at postoperative week 1 (β=1.71, P=0.021).Conclusion: Surgical decompression caused a significant reduction in the IOP in thyroid-associated orbitopathy, and the amount of reduction was closely related to preoperative IOP; however, it may also cause a transient elevation in the IOP during the early postoperative phase in highly myopic eyes. Keywords: Graves’ ophthalmopathy, intraocular pressure, myopia, physiologic monitoring, postoperative periods, surgical decompression
format article
author Jeong JH
Lee JK
Lee DI
Chun YS
Cho BY
author_facet Jeong JH
Lee JK
Lee DI
Chun YS
Cho BY
author_sort Jeong JH
title Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
title_short Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
title_full Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
title_fullStr Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
title_full_unstemmed Clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
title_sort clinical factors affecting intraocular pressure change after orbital decompression surgery in thyroid-associated ophthalmopathy
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/5073e4f6b8764c76a6e43a19501405f6
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