Association of orbital decompression and the characteristics of subsequent strabismus surgery in thyroid eye disease
To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED). Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between...
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| Vydáno v: | Canadian journal of ophthalmology Ročník 52; číslo 3; s. 264 - 268 |
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01.06.2017
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| ISSN: | 0008-4182, 1715-3360, 1715-3360 |
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| Abstract | To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED).
Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests.
145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ2 test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ2 test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ2 test, p = 0.004).
To the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients’ characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management.
Examiner le lien entre la décompression orbitaire et les caractéristiques et l’issue d’une chirurgie subséquente du strabisme chez des patients atteints de la maladie de Graves.
On a extrait des données provenant de patients atteints de la maladie de Graves qui avaient subi une décompression orbitaire au Goldschleger Eye Institute du Sheba Medical Center, en Israël, entre janvier 1990 et décembre 2011. On a consigné les caractéristiques de la décompression et de la chirurgie du strabisme, puis analysé l’issue des deux interventions et la corrélation entre elles. Les méthodes d’analyse statistique utilisées comprenaient le test de distribution, le coefficient de corrélation de Pearson et des tests pour paires appariées.
Des 145 yeux soumis à une décompression orbitaire, 45 (31,0 %) ont ensuite subi une chirurgie du strabisme. Une ésotropie est apparue chez 70 % des patients. La chirurgie du strabisme suivant la décompression a été plus fréquente chez les hommes et les fumeurs que chez les femmes et les non-fumeurs (chi carré, p = 0,07 et 0,002). Les patients qui se plaignaient de diplopie avant la décompression ont également été plus nombreux à subir une chirurgie du strabisme (chi carré, p = 0,005). Une ésotropie est apparue chez 77 % des patients qui ont subi une décompression de la paroi médiale (chi carré, p = 0,004).
Pour autant que l’on sache, il s’agit là du plus important rapport de cas publié sur le lien entre les chirurgies de décompression et du strabisme. Les caractéristiques cliniques et les parois orbitaires ciblées par la décompression sont corrélées avec les caractéristiques du strabisme qui apparaît par la suite. Ces observations pourraient avoir d’importantes répercussions sur la planification de la prise en charge de la maladie de Graves. |
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| AbstractList | To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED).
Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests.
145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ2 test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ2 test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ2 test, p = 0.004).
To the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients’ characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management.
Examiner le lien entre la décompression orbitaire et les caractéristiques et l’issue d’une chirurgie subséquente du strabisme chez des patients atteints de la maladie de Graves.
On a extrait des données provenant de patients atteints de la maladie de Graves qui avaient subi une décompression orbitaire au Goldschleger Eye Institute du Sheba Medical Center, en Israël, entre janvier 1990 et décembre 2011. On a consigné les caractéristiques de la décompression et de la chirurgie du strabisme, puis analysé l’issue des deux interventions et la corrélation entre elles. Les méthodes d’analyse statistique utilisées comprenaient le test de distribution, le coefficient de corrélation de Pearson et des tests pour paires appariées.
Des 145 yeux soumis à une décompression orbitaire, 45 (31,0 %) ont ensuite subi une chirurgie du strabisme. Une ésotropie est apparue chez 70 % des patients. La chirurgie du strabisme suivant la décompression a été plus fréquente chez les hommes et les fumeurs que chez les femmes et les non-fumeurs (chi carré, p = 0,07 et 0,002). Les patients qui se plaignaient de diplopie avant la décompression ont également été plus nombreux à subir une chirurgie du strabisme (chi carré, p = 0,005). Une ésotropie est apparue chez 77 % des patients qui ont subi une décompression de la paroi médiale (chi carré, p = 0,004).
Pour autant que l’on sache, il s’agit là du plus important rapport de cas publié sur le lien entre les chirurgies de décompression et du strabisme. Les caractéristiques cliniques et les parois orbitaires ciblées par la décompression sont corrélées avec les caractéristiques du strabisme qui apparaît par la suite. Ces observations pourraient avoir d’importantes répercussions sur la planification de la prise en charge de la maladie de Graves. To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED).OBJECTIVETo examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED).Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests.METHODSData on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests.145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ2 test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ2 test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ2 test, p = 0.004).RESULTS145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ2 test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ2 test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ2 test, p = 0.004).To the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients' characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management.CONCLUSIONSTo the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients' characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management. To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED). Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests. 145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ test, p = 0.004). To the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients' characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management. Abstract Objective To examine the association of orbital decompression and the characteristics and outcome of subsequent strabismus surgery in patients with thyroid eye disease (TED). Methods Data on patients with TED who underwent orbital decompression at the Goldschleger Eye Institute, Sheba Medical Center, Israel, between January 1990 to December 2011 were extracted. The characteristics of decompression and strabismus surgeries were recorded. The outcomes and association of both surgical procedures were analyzed. Statistical analysis included distribution, Pearson correlation, and matched paired tests. Results 145 eyes underwent orbital decompression, of which 45 eyes (31.0%) underwent strabismus surgery. Esotropia developed in 70% of the patients. Men and smokers underwent strabismus surgeries after decompression procedures more frequently than women and nonsmokers (χ2 test, p = 0.07, 0.002). Moreover, patients who complained of diplopia before the decompression surgery underwent strabismus surgery more frequently (χ2 test, p = 0.005). Seventy-seven percent of the patients who underwent medial wall decompression developed esotropia (χ2 test, p = 0.004). Conclusions To the best of our knowledge, this is the largest series in the literature examining the association between decompression and strabismus surgeries. The patients’ characteristics and the orbital walls involved in the decompression procedures are associated with the characteristics of subsequent strabismus that develops thereafter. These findings may have significant implications in planning TED management. |
| Author | Didi Fabian, Ido Wygnanski-Jaffe, Tamara Ben Zion, Itay Sagiv, Oded Ben Simon, Guy Zloto, Ofira Huna-Baron, Ruth |
| Author_xml | – sequence: 1 givenname: Ofira surname: Zloto fullname: Zloto, Ofira email: ozloto@gmail.com – sequence: 2 givenname: Guy surname: Ben Simon fullname: Ben Simon, Guy – sequence: 3 givenname: Ido surname: Didi Fabian fullname: Didi Fabian, Ido – sequence: 4 givenname: Oded surname: Sagiv fullname: Sagiv, Oded – sequence: 5 givenname: Ruth surname: Huna-Baron fullname: Huna-Baron, Ruth – sequence: 6 givenname: Itay surname: Ben Zion fullname: Ben Zion, Itay – sequence: 7 givenname: Tamara surname: Wygnanski-Jaffe fullname: Wygnanski-Jaffe, Tamara |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28576206$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Decompression, Surgical - adverse effects Female Follow-Up Studies Graves Ophthalmopathy - surgery Humans Internal Medicine Male Middle Aged Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures - methods Ophthalmology Postoperative Complications Reoperation Retrospective Studies Strabismus - etiology Strabismus - surgery Time Factors |
| Title | Association of orbital decompression and the characteristics of subsequent strabismus surgery in thyroid eye disease |
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