advertisement
Abstract #19970 Published in IGR 9-4
Effect on intraocular pressure of extraocular muscle surgery for thyroid-associated ophthalmopathy
Gomi CF; Yates B; Kikkawa DO; Levi L; Weinreb RN; Granet DBAmerican Journal of Ophthalmology 2007; 144: 654-657
PURPOSE: To study the effect of extraocular muscle surgery on intraocular pressure (IOP) in patients with thyroid-associated ophthalmopathy. DESIGN: Retrospective, observational case series. METHODS: The medical records of patients with restrictive myopathy secondary to thyroid-associated ophthalmopathy who underwent strabismus surgery from July 1, 1997 through July 31, 2003 were reviewed and analyzed retrospectively. Seventeen patients met the criteria and were included in this study. All patients were seen at the Thyroid Eye Center at the University of California, San Diego, a university-based tertiary referral center. The main outcome measure was IOP readings obtained before and after surgery in both primary gaze and upgaze. RESULTS: A statistically significant decrease in IOP in upgaze was noted after extraocular muscle recession. The mean IOP before surgery was 16.6 ± 3.78 mmHg in primary gaze and 23.2 ± 7.27 mmHg in upgaze. After strabismus surgery, the mean IOP after one month was 15.7 ± 2.36 mmHg (P = .215) in primary gaze and 18.9 ± 2.96 mmHg in upgaze (P = .001). CONCLUSIONS: Strabismus surgery resulted in a significant reduction in IOP in the early postoperative period in patients with restrictive myopathy secondary to thyroid-associated ophthalmopathy.
Dr. C.F. Gomi, Ratner Children's Eye Center, Department of Ophthalmology, University of California San Diego, La Jolla, CA 92093, USA
Classification:
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
6.1.3 Factors affecting IOP (Part of: 6 Clinical examination methods > 6.1 Intraocular pressure measurement; factors affecting IOP)