Abstract
Objective To report changes in pupillary distance (PD) after orbital decompression in patients with Graves’ orbitopathy (GO). Design Retrospective comparative case series. Participants A total of 59 cases who underwent the same type of orbital decompression on both eyes. Methods The medical records of 111 patients who underwent orbital decompression were reviewed retrospectively. Fifty-nine patients without restrictive myopathy who underwent the same procedure on both eyes were included. Patients were divided into the following 3 groups by procedure: only fat decompression (group 1, n = 18), fat and medial wall decompression (group 2, n = 11), and fat, medial, and inferior wall decompression (group 3, n = 30). Preoperative and postoperative PD and proptosis were measured. Results PD shortened by 2.9 mm in group 1 (p < 0.001), 2.4 mm in group 2 (p < 0.001), and 3.5 mm in group 3 (p < 0.001). Proptosis improved by 3.5 mm in group 1 (p < 0.001), 3.5 mm in group 2 (p < 0.001), and 4.6 mm in group 3 (p < 0.001). PD changes were not significantly different between the groups (p = 0.328). The change in PD was significantly correlated with the mean amount of proptosis reduction (r = 0.374, p = 0.003). Conclusions PD shortened after orbital decompression in patients with fat proliferative GO. The change in PD was not related to the type of orbital decompression, but rather to the amount of proptosis reduction. Postoperative changes in PD should be considered when performing orbital decompression.
| Original language | English |
|---|---|
| Pages (from-to) | 186-191 |
| Number of pages | 6 |
| Journal | Canadian Journal of Ophthalmology |
| Volume | 52 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2017 Apr |
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All Science Journal Classification (ASJC) codes
- Ophthalmology
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Changes in pupillary distance after fat versus bony orbital decompression in Graves’ orbitopathy. / Woo, Young Jun; Yoon, Jin Sook.
In: Canadian Journal of Ophthalmology, Vol. 52, No. 2, 04.2017, p. 186-191.Research output: Contribution to journal › Article
TY - JOUR
T1 - Changes in pupillary distance after fat versus bony orbital decompression in Graves’ orbitopathy
AU - Woo, Young Jun
AU - Yoon, Jin Sook
PY - 2017/4
Y1 - 2017/4
N2 - Objective To report changes in pupillary distance (PD) after orbital decompression in patients with Graves’ orbitopathy (GO). Design Retrospective comparative case series. Participants A total of 59 cases who underwent the same type of orbital decompression on both eyes. Methods The medical records of 111 patients who underwent orbital decompression were reviewed retrospectively. Fifty-nine patients without restrictive myopathy who underwent the same procedure on both eyes were included. Patients were divided into the following 3 groups by procedure: only fat decompression (group 1, n = 18), fat and medial wall decompression (group 2, n = 11), and fat, medial, and inferior wall decompression (group 3, n = 30). Preoperative and postoperative PD and proptosis were measured. Results PD shortened by 2.9 mm in group 1 (p < 0.001), 2.4 mm in group 2 (p < 0.001), and 3.5 mm in group 3 (p < 0.001). Proptosis improved by 3.5 mm in group 1 (p < 0.001), 3.5 mm in group 2 (p < 0.001), and 4.6 mm in group 3 (p < 0.001). PD changes were not significantly different between the groups (p = 0.328). The change in PD was significantly correlated with the mean amount of proptosis reduction (r = 0.374, p = 0.003). Conclusions PD shortened after orbital decompression in patients with fat proliferative GO. The change in PD was not related to the type of orbital decompression, but rather to the amount of proptosis reduction. Postoperative changes in PD should be considered when performing orbital decompression.
AB - Objective To report changes in pupillary distance (PD) after orbital decompression in patients with Graves’ orbitopathy (GO). Design Retrospective comparative case series. Participants A total of 59 cases who underwent the same type of orbital decompression on both eyes. Methods The medical records of 111 patients who underwent orbital decompression were reviewed retrospectively. Fifty-nine patients without restrictive myopathy who underwent the same procedure on both eyes were included. Patients were divided into the following 3 groups by procedure: only fat decompression (group 1, n = 18), fat and medial wall decompression (group 2, n = 11), and fat, medial, and inferior wall decompression (group 3, n = 30). Preoperative and postoperative PD and proptosis were measured. Results PD shortened by 2.9 mm in group 1 (p < 0.001), 2.4 mm in group 2 (p < 0.001), and 3.5 mm in group 3 (p < 0.001). Proptosis improved by 3.5 mm in group 1 (p < 0.001), 3.5 mm in group 2 (p < 0.001), and 4.6 mm in group 3 (p < 0.001). PD changes were not significantly different between the groups (p = 0.328). The change in PD was significantly correlated with the mean amount of proptosis reduction (r = 0.374, p = 0.003). Conclusions PD shortened after orbital decompression in patients with fat proliferative GO. The change in PD was not related to the type of orbital decompression, but rather to the amount of proptosis reduction. Postoperative changes in PD should be considered when performing orbital decompression.
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UR - http://www.scopus.com/inward/citedby.url?scp=85006814795&partnerID=8YFLogxK
U2 - 10.1016/j.jcjo.2016.08.007
DO - 10.1016/j.jcjo.2016.08.007
M3 - Article
C2 - 28457289
AN - SCOPUS:85006814795
VL - 52
SP - 186
EP - 191
JO - Canadian Journal of Ophthalmology
JF - Canadian Journal of Ophthalmology
SN - 0008-4182
IS - 2
ER -