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199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

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«
Vol. 23, Art. 26 (pp. 420-431)    |    2022       
»

Algorithm of the thyroid eye disease-associated upper eyelid retractions objective examination
L.K.Anikina, S.Yu. Astakhov, V.V.Potemkin, Sh.E. Babaeva, S.A.Kostygina, T.R.Parasunko

1.Pavlov First Saint Petersburg State Medical University L'va Tolstogo str. 6-8 Saint Petersburg, Russia 197022
2. St. Petersburg state budgetary institution of health care "City multidiscipline hospital no.2" Uchebnyy Pereulok, 5, St Petersburg, Russia 194354
3. North-Western State Medical University named after I.I. Mechnikov Kirochnaya str. 41 Saint-Petersburg, Russia, 191015
4. Saint-Petersburg State Pediatric Medical University



Brief summary

Upper eyelid retraction is the most common thyroid eye disease manifestation. It leads to visual impairment and entails a number of complications such as exposure keratopathy, lagophthalmos and cosmetic alterations that affects the patient's quality of life. The detailed algorithm of thyroid eye disease associated upper eyelid retraction is presented under this article. When examining patients with thyroid eye disease-associated upper eyelid retraction, it is necessary to intervew, including using the OSDI questionnaire, and a history taking. It?s essential to measure not only the degree of retraction of the upper eyelid, but also the width of the palpebral fissure in the center and along the medial and lateral limbs to the position of the upper eyelid evaluation. In addition, the upper eyelid retraction on the contralateral side should be excluded. Along with this, due to the instability of the position of the upper eyelid, gaze fixation tests and phenylephrine test are recommended. It is also important to assess the degree of lagophthalmos, the frequency of complete closure of the eyelids, and the Bell's phenomenon to evaluate exposure keratopathy. The correct algorithm will help to choose adequate treatment up to time.


Key words

Thyroid eye disease; upper eyelid retraction; algorithm of examination; upper eyelid contour; dry eye syndrome; lagophthalmos.





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Reference list

1. Jain A.P., Jaru-Ampornpan P., Douglas R.S. Thyroid eye disease: Redefining its management-A review // Clin Exp Ophthalmol. - 2021. - Vol. 49. - 2. - P. 203-211. doi:10.1111/ceo.13899


2. Chin Y.H., Ng C.H., Lee M.H., et al. Prevalence of thyroid eye disease in Graves' disease: A meta-analysis and systematic review // Clin Endocrinol (Oxf). - 2020. - Vol. 93. - 4. - P. 363-374. doi:10.1111/cen.14296


3. Sikder S., Weinberg R.S. Thyroid eye disease: pathogenesis and treatment // Ophthalmologica. - 2010. - Vol. 224. - 4. - P. 199-203. doi:10.1159/000260224


4. Bartley G.B. The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota // Trans Am Ophthalmol Soc. - 1994. - Vol. 92. - P. 477-588.


5. Bartley G.B., Gorman C.A. Diagnostic criteria for Graves' ophthalmopathy // Am J Ophthalmol. - 1995. - Vol. 119. - 6. - P. 792-795. doi:10.1016/s0002-9394(14)72787-4


6. Dutton J.J. Anatomic Considerations in Thyroid Eye Disease // Ophthalmic Plast Reconstr Surg. - 2018. - Vol. 34 (4S Suppl 1). - P. S7-S12. doi:10.1097/IOP.0000000000001122


7. Wiersinga W.M. Quality of life in Graves' ophthalmopathy // Best Pract Res Clin Endocrinol Metab. - 2012.- Vol. 26. - 3. - P. 359-370. doi:10.1016/j.beem.2011.11.001


8. Rundle F.F. Management of exophthalmos and related ocular changes in Graves' disease // Metabolism. - 1957. - Vol. 6. - 1. - P. 36-48.


9. Rundle F.F., Wilson C.W. Development and course of exophthalmos and ophthalmoplegia in Graves disease with special reference to the effect of thyroidectomy // Clin Sci. - 1945. - Vol. 5. - P. 177-94.


10. Lee D.C., Young S.M., Kim Y.D., Woo K.I. Course of upper eyelid retraction in thyroid eye disease // Br J Ophthalmol. - 2020. - Vol. 104. - 2. - P. 254-259. doi:10.1136/bjophthalmol-2018-313578


11. Teng C.S., Yeo P.P. Ophthalmic Graves's disease: natural history and detailed thyroid function studies // Br Med J. - 1977. - Vol. 1. - 6056. - P.273-275. doi:10.1136/bmj.1.6056.273


12. Perros P., Crombie A.L., Kendall-Taylor P. Natural history of thyroid associated ophthalmopathy // Clin Endocrinol (Oxf). - 1995. - Vol. 42. - 1. - P. 45-50. doi:10.1111/j.1365-2265.1995.tb02597.x


13. Noth D., Gebauer M., Müller B. et al. Graves' ophthalmopathy: natural history and treatment outcomes. // Swiss Med Wkly. - 2001. - Vol. 131. - 41-42. - P. 603-609.


14. Gonçalves A.C.P., Nogueira T., Gonçalves A.C.A. et al. A comparative study of full-thickness blepharotomy versus transconjunctival eyelid lengthening in the correction of upper eyelid retraction in Graves' orbitopathy // Aesthetic Plast Surg. - 2018. - Vol. 42. - 1. - P. 215-223. doi:10.1007/s00266-017-0978-9


15. Golcman, E.V. Vliyanie modificirovannoi rezekcii verhnei tarzalnoi mishci na kontyr verhnego veka y pacientov s blefaroptozom/ Golcman E.V., Potemkin V.V., Davidov D.V. //Golova i sheya. -2020. - T.-8.- 4.- S.25-30


16. Edmonson B.C., Wulc A.E. Ptosis evaluation and management // Otolaryngol Clin North Am. - 2005. - Vol. 38. - 5. - P. 921-946. doi:10.1016/j.otc.2005.08.012.


17. Dadapeer K. Clinical methods in ophthalmology: practical manual for undergraduates. - New Delhi: JP Medical Ltd, 2013. - 229 p.


18. Evaluation and treatment of the patient with ptosis. In: Nerad JA. Oculoplastic surgery: the requisites in ophthalmology. Maryland Heights: Mosby Inc.; 2001. P. 120-179.


19. Sneddon J.M., Turner P. Adrenergic blockade and the eye signs of thyrotoxicosis // Lancet. - 1966. - Vol. 2. - 7462. - P. 525-527. doi:10.1016/s0140-6736(66)92881-9


20. Cartlidge N.E., Crombie A.L., Anderson J., Hall R. Critical study of 5 per cent guanethidine in ocular manifestation of Graves disease // Br Med J. - 1969. - Vol. 4. -5684. - P. 645-647. doi: 10.1136/bmj.4.5684.645





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