Thyroid associated ophthalmopathy and glaucoma

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Original Article

Author Details : Prakash Chand Agarwal

Volume : 3, Issue : 1, Year : 2017

Article Page : 48-49

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Abstract

Aim: To study the prevalence of glaucoma in patients with thyroid associated ophthalmopathy (TAO).
Methods: In a cross sectional study, 76 patients with thyroid associated ophthalmopathy (TAO) were included in the study. All patients with TAO presenting to our hospital (eye department & Endocrinology OPD) were included. All patients underwent complete ophthalmic examination including BCVA, Slit lamp examination, Fundus examination by +78 D lens, intraocular pressure measurement by Goldman Applanation Tonometer (GAT), visual fields (SITA standard 30-2, Humphrey, USA and pachymetry (Sonomed, USA). Exophthalmomery was done using Luedde’s Exophthalmometer.
Results: A total of 76 consecutive patients of TAO were included in the study. There were 39 males and 37 females in our study. The mean age of the patients was 38.3 years (range: 23-57.5 years). All patients had some degree of proptosis along with congestive features of active TAO.
In our study 48 out of 152 eyes had IOP > 21 mm Hg. 16 eyes had optic nerve changes and visual field changes to be labeled as glaucomatous. 32 eyes had only high IOP without corresponding optic nerve or visual field changes.
Conclusions: Patients with thyroid associated ophthalmology (TAO) have high prevalence of ocular hypertension and secondary glaucoma.

Keywords: Glaucoma, Graves disease, Thyroid associated ophthalmopathy

How to cite : Agarwal P C, Thyroid associated ophthalmopathy and glaucoma. IP Int J Ocul Oncol Oculoplasty 2017;3(1):48-49

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