Evaluation of Ocular Versions in Graves' Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method

Imagem de Miniatura
Arquivos
art_LEITE_Evaluation_of_Ocular_Versions_in_Graves_Orbitopathy_Correlation_2020.PDF.pdf (2.18 MB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2020
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
HINDAWI LTD
Autores
CHIANG, Jeane
Citação
JOURNAL OF OPHTHALMOLOGY, v.2020, article ID 9758153, 7p, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose. To assess the agreement between the qualitative clinical method and the quantitative photographic method of evaluating normal and abnormal ocular versions in patients with inactive Graves' orbitopathy (GO).Methods. Forty-two patients with inactive GO had their ocular versions evaluated clinically according to three categories: normal, moderate alterations (-1 or -2 hypofunction), and severe alterations (-3 or -4 hypofunction). The subjects were photographed in the 9 positions of gaze, and the extent (mm) of eye movement in each position was estimated using Photoshop(R)and ImageJ and converted into degrees with a well-established method. The agreement between the two methods (qualitative vs. quantitative) for classifying ocular versions as normal or abnormal was assessed.Results. The mean quantitative measurements of versions were significantly different for each clinical category (normal, moderate alterations, and severe alterations) in the following five positions: abduction, adduction, elevation in abduction, elevation, and elevation in adduction (p<0.001). No such pattern was observed for the three infraversion positions (depression in abduction,p=0.573; depression,p=0.468; depression in adduction,p=0.268).Conclusion. The agreement was strong between the quantitative photographic method and the qualitative clinical method of classifying ocular versions, especially in lateral and supraversions, which are typically affected in GO. Digital photography is recommended for the assessment of ocular versions due to its practicality, suitability for telemedicine applications, and ease of monitoring during follow-up. This trial is registered with.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/37802
Referências
  1. BIELSCHOWSKY A, 1956, LECT MOTOR ANOMALIES
  2. BOEDER P, 1957, ARCH OPHTHALMOL-CHIC, V57, P200
  3. Boeder P, 1962, Br J Ophthalmol, V46, P397, DOI 10.1136/bjo.46.7.397
  4. Dolman PJ, 2012, OPHTHALMOLOGY, V119, P382, DOI 10.1016/j.ophtha.2011.07.011
  5. Guibor G., 1959, SQUINT ALLIED CONDIT
  6. Haggerty H, 2005, ARCH OPHTHALMOL-CHIC, V123, P356, DOI 10.1001/archopht.123.3.356
  7. Hanif S, 2009, BRIT IRISH ORTHOPTIC, V6, P47, DOI 10.22599/BIOJ.8
  8. Hanif S, 2014, STRABISMUS, V22, P125, DOI 10.3109/09273972.2014.937444
  9. Hanif S, 2009, STRABISMUS, V17, P29, DOI 10.1080/09273970802697891
  10. Holmes JM, 2001, OPHTHALMOLOGY, V108, P1300, DOI 10.1016/S0161-6420(01)00592-9
  11. Houben MMJ, 2006, INVEST OPHTH VIS SCI, V47, P179, DOI 10.1167/iovs.05-0234
  12. Kestenbaum A., 1961, CLIN METHODS NEUROOP
  13. Kushner BJ, 2000, ARCH OPHTHALMOL-CHIC, V118, P946
  14. Lim HW, 2014, OPHTHALMOLOGY, V121, P870, DOI 10.1016/j.ophtha.2013.11.019
  15. Lu WN, 2015, INVEST OPHTH VIS SCI, V56
  16. MOURITS MP, 1994, OPHTHALMOLOGY, V101, P1341
  17. Mourits MP, 1997, CLIN ENDOCRINOL, V47, P9, DOI 10.1046/j.1365-2265.1997.2331047.x
  18. Rowe FJ, 2011, GRAEF ARCH CLIN EXP, V249, P909, DOI 10.1007/s00417-010-1596-2
  19. URIST MJ, 1967, AM J OPHTHALMOL, V63, P808, DOI 10.1016/0002-9394(67)91308-6
  20. Von Noorden G. K., 1983, ATLAS STRABISMUS
  21. VONNOORDEN GK, 1996, BINOCULAR VISION OCU

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOF
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HU
Artigos e Materiais de Revistas Científicas - LIM/33