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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPEREIRA, Thais de Sous
dc.contributor.authorKUNIYOSHI, Cristina Hiromi
dc.contributor.authorLEITE, Cristiane de Almeida
dc.contributor.authorGEBRIM, Eloisa M. M. S.
dc.contributor.authorMONTEIRO, Mario L. R.
dc.contributor.authorGONCALVES, Allan C. Pieroni
dc.date.accessioned2020-06-01T14:54:15Z-
dc.date.available2020-06-01T14:54:15Z-
dc.date.issued2020
dc.identifier.citationJOURNAL OF OPHTHALMOLOGY, v.2020, article ID 1397410, 6p, 2020
dc.identifier.issn2090-004X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/36013-
dc.description.abstractBackground. A number of orbital diseases may be evaluated based on the degree of exophthalmos, but there is still no gold standard method for the measurement of this parameter. In this study we compare two exophthalmometry measurement methods (digital photography and clinical) with regard to reproducibility and the level of correlation and agreement with measurements obtained with Computerized Tomography (CT) measurements. Methods. Seventeen patients with bilateral proptosis and 15 patients with normal orbits diseases were enrolled. Patients underwent orbital CT, Hertel exophthalmometry (HE) and standardized frontal and side facial photographs by a single trained photographer. Exophthalmometry measurements with HE, the digital photographs and axial CT scans were obtained twice by the same examiner and once by another examiner. Pearson correlation coefficient (PCC) was used to assess correlations between methods. Validity between methods was assessed by mean differences, interintraclass correlation coefficients (ICC's), and Bland-Altman plots. Results. Mean values were significantly higher in the proptosis group (34 orbits) than in the normal group (30 orbits), regardless of the method. Within each group, mean digital exophthalmometry measurements (24.32 +/- 5.17 mm and 18.62 +/- 3.87 mm) were significantly greater than HE measurements (20.87 +/- 2.53 mm and 17.52 +/- 2.67 mm) with broader range of standard deviation. Inter-/intraclass correlation coefficients were 0.95/0.93 for clinical, 0.92/0.74 for digital, and 0.91/0.95 for CT measurements. Correlation coefficients between HE and CT scan measurements in both groups of subjects (r = 0.84 and r = 0.91, p<0.05) were greater than those between digital and CT scan measurements (r = 0.61 and r = 0.75, p<0.05). On the Bland-Altman plots, HE showed better agreement to CT measurements compared to the digital photograph method in both groups studied. Conclusions. Although photographic digital exophthalmometry showed strong correlation and agreement with CT scan measurements, it still performs worse than and is not as accurate as clinical Hertel exophthalmometry. This trail is registered with NCT01999790.eng
dc.description.sponsorshipCAPES-Coordenacao de Aperfeicoamento de Nivel Superior, Brasilia, Brazil
dc.description.sponsorshipCNPq-Conselho Nacional de Desenvolvimento Cientifico e TecnologicoNational Council for Scientific and Technological Development (CNPq) [308172/2018-3]
dc.language.isoeng
dc.publisherHINDAWI LTDeng
dc.relation.ispartofJournal of Ophthalmology
dc.rightsopenAccesseng
dc.subject.otherhertel exophthalmometryeng
dc.subject.otherposition measurementeng
dc.subject.otherreliabilityeng
dc.titleA Comparative Study of Clinical vs. Digital Exophthalmometry Measurement Methodseng
dc.typearticleeng
dc.rights.holderCopyright HINDAWI LTDeng
dc.identifier.doi10.1155/2020/1397410
dc.identifier.pmid32280513
dc.subject.wosMedicine, Research & Experimentaleng
dc.subject.wosOphthalmologyeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.description.articlenumber1397410
hcfmusp.description.volume2020
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000524535200016
hcfmusp.origem.id2-s2.0-85083260670
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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dc.description.indexPubMedeng
dc.identifier.eissn2090-0058
hcfmusp.citation.scopus2-
hcfmusp.scopus.lastupdate2022-04-29-
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Artigos e Materiais de Revistas Científicas - FM/MOF
Departamento de Otorrinolaringologia e Oftalmologia - FM/MOF

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/InRad
Instituto de Radiologia - HC/InRad

Artigos e Materiais de Revistas Científicas - HU
Hospital Universitário - HU

Artigos e Materiais de Revistas Científicas - LIM/33
LIM/33 - Laboratório de Oftalmologia


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