Episcleral venous pressure level in patients with thyroid associated orbitopathy

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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.

作者简介

Vitaly Potemkin

First Pavlov State Medical University of St. Petersburg

编辑信件的主要联系方式.
Email: potem@inbox.ru

PhD, Assistant Professor. Department of Ophthalmology

俄罗斯联邦, St. Petersburg, Russia

Elena Goltsman

City Ophthalmologic Center of City Hospital No 2

Email: ageeva_elena@inbox.ru

Ophthalmologist

俄罗斯联邦, St. Petersburg, Russia

Maria Kovaleva

First Pavlov State Medical University of St. Petersburg

Email: marijakovaleva@mail.ru

Student

俄罗斯联邦, St. Petersburg, Russia

参考

  1. Бровкина А.Ф. Эндокринная офтальмопатия. - М.: ГЭОТАР-Медиа, 2008. [Brovkina AF. Endokrinnaya oftal’mopatiya. Moscow: GEOTAR-Media; 2008. (In Russ.)]
  2. Henzen C. Hyperthyroidism - differential diagnosis and differential therapy. Praxis (Bern 1994). 2003;92(1-2):18-24. doi: 10.1024/0369-8394.92.1.18.
  3. Marocci C, Bartalena L, Pinchera A. Recent progress in Graves’ ophthalmopathy. Curr Opin Endiocrinol Metab. 1996;(3);417-422.
  4. Shaarawy TM, Sherwood MB, Hitchings RA. Glaucoma. Medical diagnosis and therapy. New York: Elsevier; 2015.
  5. Lissak B, Tazartes M, Heron E, Feldman S. Orbitopathies thyroïdiennes en milieu ophtalmologique. Presse Med. 2002;31(2):64-68.
  6. Scott IU, Siatkowski RM. Thyroid Eye Disease. Semin Ophthalmol. 2009;14(2):52-61. doi: 10.3109/08820539909056064.
  7. Van Ruyven RL, Van Den Bosch WA, Mulder PG, et al. The effect of retrobulbar irradiation on exophthalmos, ductions and soft tissue signs in Graves’ ophthalmopathy: a retrospective analysis of 90 cases. Eye (Lond). 2000;14 Pt 5:761-764. doi: 10.1038/eye.2000.199.
  8. Бровкина А.Ф., Толстухина Т.Л., Александрова Г.Ф. Эутиреоидная болезнь Грейвса // Вестник офтальмологии. - 2001. - № 4. - С. 34-36. [Brovkina AF, Tolstukhina TL, Aleksandrova GF. Eutireoidnaya bolezn’ Greivsa. Annals of ophtalmology. 2001;(4):34-36. (In Russ.)]
  9. Bartley GB. The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. Trans Am Ophthalmol Soc. 1994;92:477-588.
  10. Burch HB, Wartofsky L. Graves’ophthalmopathy: current concepts regarding pathogenesis and management. Endocr Rev. 1993;14(6):747-793. doi: 10.1210/edrv-14-6-747.
  11. Liddle GW, Heyssel RM, McKenzie JM. Graves’ disease without hyperthyroidism. Am J Med. 1965;39(5):845-848. doi: 10.1016/0002-9343(65)90104-x.
  12. Perros P, Cromble AL, Kendall-Taylor P. Natural history of thyroid associated ophthalmopathy. Clin Endocrinol (Oxf). 1995;42(1):45-50. doi: 10.1111/j.1365-2265.1995.tb02597.x.
  13. Relimpio F. Subclinical hyperthyroidism. N Engl J Med. 2002;346(1):67-68. doi: 10.1056/NEJM200201033460116.
  14. Sieradzki I, Katra B, Mirkiewiez-Sieradzka B. Czynniki ryzyka wystapienia oftalmopatii w prsebiegy choroby Graves-Basedowa. Przegl Lek. 2000;57(6):321-323.
  15. Marcocci C, Bartalena L, Pinchera A. Ablative or non-ablative therapy for Graves’ hyperthyroidism in patients with ophthalmopathy? J Endocrinol Invest. 1998;21(7):468-471. doi: 10.1007/BF03347329.
  16. Бровкина А.Ф., Юровская Н.Н., Тютюнникова А.М. Классификация и клинические особенности эндокринной офтальмопатии // Вестник офтальмологии. - 1983. - № 1. - С. 40-43. [Brovkina AF, Yurovskaya NN, Tyutyunnikova AM. Klassifikatsiya i klinicheskie osobennosti endokrinnoy oftal’mopatii. Annals of ophtalmology. 1983;(1):40-43. (In Russ.)]
  17. Mourits MP, Prummel MF, Wiersinga WM, Koornneef L. Clinical activity score as a guide in the management of patients with Graves’ ophthalmopathy. Clin Endocrinol. 1997;47(1):9-14. doi: 10.1046/j.1365-2265.1997.2331047.x.
  18. Gamblin GT, Harper DG, Galentine P, et al. Prevalence of increased intraocular pressure in Graves’ disease - evidence of frequent subclinical ophthalmopathy. N Engl J Med. 1983;308(8):420-424. doi: 10.1056/NEJM198302243080803.
  19. Алескерова П.М. Внутриглазная гидродинамика у пациентов с эндокринной офтальмопатией: Дис. … канд. мед. наук. - М., 2010. [Aleskerova PM. Vnutriglaznaya gidrodinamika u patsientov s endokrinnoy oftal’mopatiey. [dissertation] Moscow; 2010. (In Russ.)]
  20. Gamblin GT, Galentine P, Chernow B, et al. Evidence of extraocular muscle restriction in autoimmune thyroid disease. J Clin Endocrinol Metab. 1985;61(1):167-171. doi: 10.1210/jcem-61-1-167.
  21. Nordmann J, Lobstein A, Gherarrd JP, Levy JP. Presentation of 14 cases of glaucoma due to elevated ocular venous pressure. Ophthalmologica. 1961;142:501-505.
  22. Vanni VF, Vozza R. Comportamento del tono oculare in vari tipidi esoftalmo. Boll Oculist. 1960;39:189-197.
  23. Dyer JA. The oculorotary muscles in Graves’ disease. Trans Am Ophthalmol Soc. 1976;74:425-456.
  24. Manor RS, Kurz O, Lewitus Z. Intraocular pressure in endocrinological patients with exophthalmos. Ophthalmologica. 1974;168(4):241-252. doi: 10.1159/000307046.
  25. Cheng H, Perkins ES. Thyroid disease and glaucoma. Br J Ophthalmol. 1967;51(8):547-553. doi: 10.1136/bjo.51.8.547.
  26. Cant JS, Wilson TM. The ocular and orbital circulations in dysthyroid ophthalmopathy. Trans Ophthalmol Soc U K. 1974;94(2):416-429.
  27. Бровкина А.Ф., Тютюнникова А.М. О методике оценки клинического течения отёчного экзофтальма и псевдотумора // Вестник офтальмологии. - 1990. - № 2. - С. 16-19. [Brovkina AF, Tyutyunnikova AM. O metodike otsenki klinicheskogo techeniya otechnogo ekzoftal’ma i psevdotumora. Annals of opgtalmology.1990;(2):16-19. (In Russ.)]

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