Episcleral venous pressure level in patients with thyroid associated orbitopathy

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Abstract

Thyroid associated orbitopathy (TAO) occurs in patients with various diseases of the thyroid gland. The levels of episcleral venous pressure (EVP), intraocular pressure and intraorbital pressure are inter- related. There are no precise data on the change of EVP in patients with TAO.

Purpose. To evaluate EVP in patients with compensated and sub-compensated TAO forms.

Methods. Data of 41 eyes of 22 patients were enrolled into the study. The main index to be evaluated was the EVP.

Results. EVP level was significantly higher in complete venous compression in the lower- temporal quadrant in patients with sub-compensated TAO stage (p = 0.013).

Conclusion. The degree of venous outflow obstruction and the EVP level of are interrelated. Thus, the level of EVP can be used as an additional factor in assessing the severity of the disease course and the treatment efficacy.

About the authors

Vitaly V. Potemkin

First Pavlov State Medical University of St. Petersburg

Author for correspondence.
Email: potem@inbox.ru

PhD, Assistant Professor. Department of Ophthalmology

Russian Federation, St. Petersburg, Russia

Elena V. Goltsman

City Ophthalmologic Center of City Hospital No 2

Email: ageeva_elena@inbox.ru

Ophthalmologist

Russian Federation, St. Petersburg, Russia

Maria S. Kovaleva

First Pavlov State Medical University of St. Petersburg

Email: marijakovaleva@mail.ru

Student

Russian Federation, St. Petersburg, Russia

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2. Fig. 1. Episcleral venomanometr EV-320 (Eyetech, Morton Grove, IL): (a) slit-lamp mounted; (b) scheme of partial and of full compression

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Copyright (c) 2018 Potemkin V.V., Goltsman E.V., Kovaleva M.S.

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